Primary Care Physicians Of Hollywood, Pl | |
10650 W State Road 84 Ste 104 Davie FL 33324-4235 | |
(954) 983-9191 | |
(954) 983-1152 |
Full Name | Primary Care Physicians Of Hollywood, Pl |
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Speciality | Internal Medicine |
Location | 10650 W State Road 84 Ste 104, Davie, Florida |
Authorized Official Name and Position | Moises A Issa (PRESIDENT) |
Authorized Official Contact | 9545634472 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primary Care Physicians Of Hollywood, Pl 2488 N University Dr Pembroke Pines FL 33024-3624 Ph: (954) 983-9191 | Primary Care Physicians Of Hollywood, Pl 10650 W State Road 84 Ste 104 Davie FL 33324-4235 Ph: (954) 983-9191 |
NPI Number | 1538659388 |
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Provider Enumeration Date | 05/17/2018 |
Last Update Date | 05/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538659388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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