The Md Pllc | |
6515 Taft St Hollywood FL 33024-4008 | |
(305) 343-0604 | |
Not Available |
Full Name | The Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 6515 Taft St, Hollywood, Florida |
Authorized Official Name and Position | Moises Issa (OWNER) |
Authorized Official Contact | 8886084363 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Md Pllc 6515 Taft St Hollywood FL 33024-4008 Ph: (305) 343-0604 | The Md Pllc 6515 Taft St Hollywood FL 33024-4008 Ph: (305) 343-0604 |
NPI Number | 1205599453 |
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Provider Enumeration Date | 10/14/2021 |
Last Update Date | 07/25/2022 |
Medicare PECOS PAC ID | 2961891759 |
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Medicare Enrollment ID | O20211117000813 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205599453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Moises Issa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558357780 PECOS PAC ID: 8325945447 Enrollment ID: I20031217000354 |
Provider Name | Richard J Morgan |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1326015629 PECOS PAC ID: 3072505205 Enrollment ID: I20040330001485 |
Provider Name | Tammy N Thaggert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174534770 PECOS PAC ID: 9032119490 Enrollment ID: I20070109000115 |
Provider Name | Vibhuti Singh |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1427044502 PECOS PAC ID: 2264564632 Enrollment ID: I20100720001011 |
Provider Name | Elie Joseph Hercule |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710088620 PECOS PAC ID: 7719985829 Enrollment ID: I20200511002718 |
Provider Name | Mohsen Soofian |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1265880520 PECOS PAC ID: 4385976018 Enrollment ID: I20220221001352 |
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