Florida Phs LLC
Family Medicine in Ft. Lauderdale, FL. Organization (NPI-2).
NPI number1801025366
StatusActive
Last updated in NPPESOct 25, 2012
Details
- NPI
- 1801025366
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Phs LLC
- Organization subpart
- No
- Enumeration date
- Jul 6, 2009
- Last updated
- Oct 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
101 Ne Third AvenueSuite 1500
Ft. Lauderdale, FL 33301-1181
Phone 901-261-4848 · Fax 901-261-4849
Mailing address
9155 Crestwyn Hills DrMemphis, TN 38125-8501
Phone 877-260-4758 · Fax 901-261-4867
Authorized official
Mark Smith
Ceo
9012614858
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