| Florida Phs Llc | |
|
101 Ne Third Avenue Suite 1500 Ft. Lauderdale FL 33301-1181 | |
| (901) 261-4848 | |
| (901) 261-4849 |
| Full Name | Florida Phs Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Ne Third Avenue, Ft. Lauderdale, Florida |
| Authorized Official Name and Position | Mark Smith (CEO) |
| Authorized Official Contact | 9012614858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Phs Llc 9155 Crestwyn Hills Dr Memphis TN 38125-8501 Ph: (877) 260-4758 | Florida Phs Llc 101 Ne Third Avenue Suite 1500 Ft. Lauderdale FL 33301-1181 Ph: (901) 261-4848 |
| NPI Number | 1801025366 |
|---|---|
| Provider Enumeration Date | 07/06/2009 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801025366 | NPI | - | NPPES |
| 003107800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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