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NPI Code Detail

MEDICARE: HS1 MEDICAL MANAGEMENT INC

MEDICARE: HS1 MEDICAL MANAGEMENT INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance Organization

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1COMPANY CODE 168041OTHERSCPRIVATE REVIEW AGENT
2TPA 44185OTHERGATPA LICENSE
3TPA20070107OTHERILTPA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5CERT # 1702,REG #806OTHERFLPRIVATE REVIEW AGENT
6CERT 5358OTHERTXPRIVATE REVIEW AGENT

General Provider Information

NPI Number : 1891827408
Entity Type Code : Organization
Provider Name (Legal Business Name) : HS1 MEDICAL MANAGEMENT INC
Provider Business Mailing Address
First Line : 2001 S ANDREWS AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-3429
Country : US
Telephone Number : 800-422-3672
Fax Number : 305-620-5876
Provider Business Practice Location Address
First Line : 2001 S ANDREWS AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-3429
Country : US
Telephone Number : 800-422-3672
Fax Number : 305-620-5876
Authorized Official
Title or Position : PRESIDENT
Name : MR. ROBERT J LEAHY
Credential :
Telephone Number : 800-422-3672
Provider Enumeration Date : 03/09/2007
Last Update Date : 08/17/2018

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Directions to “HS1 MEDICAL MANAGEMENT INC ” Practice Location

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