Healthcare Provider Details

I. General information

NPI: 1891827408
Provider Name (Legal Business Name): HS1 MEDICAL MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 S ANDREWS AVE
FORT LAUDERDALE FL
33316-3429
US

IV. Provider business mailing address

2001 S ANDREWS AVE
FORT LAUDERDALE FL
33316-3429
US

V. Phone/Fax

Practice location:
  • Phone: 800-422-3672
  • Fax: 305-620-5876
Mailing address:
  • Phone: 800-422-3672
  • Fax: 305-620-5876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT J LEAHY
Title or Position: PRESIDENT
Credential:
Phone: 800-422-3672