Provider Demographics
NPI:1710287206
Name:PRICE, PHYLLIS LAUSCHE (MD)
Entity Type:Individual
Prefix:DR
First Name:PHYLLIS
Middle Name:LAUSCHE
Last Name:PRICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HOLLYWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-7059
Mailing Address - Country:US
Mailing Address - Phone:954-265-5157
Mailing Address - Fax:954-985-1810
Practice Address - Street 1:300 HOLLYWOOD WAY
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-7059
Practice Address - Country:US
Practice Address - Phone:954-265-5157
Practice Address - Fax:954-985-1810
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME21366207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services