MEDICARE: MR. ISSAK FUX

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
1	247200000X	Other Technician		FL

General Provider Information

NPI Number	:	1902740863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ISSAK FUX

Provider Business Mailing Address
First Line	:	1340 LINCOLN RD APT 704
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2237
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 LINCOLN RD APT 704
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2237
Country	:	US
Telephone Number	:	786-863-2258
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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