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NPI Code Detail

MEDICARE: DR. MOISES A ISSA M.D.

MEDICARE:  DR. MOISES A ISSA  M.D.
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
1207R00000XInternal Medicine PhysicianME81676FL

Other Identifiers

General Provider Information

NPI Number : 1558357780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOISES A ISSA M.D.
Provider Business Mailing Address
First Line : 7050 TAFT ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-3804
Country : US
Telephone Number : 954-399-9014
Fax Number :
Provider Business Practice Location Address
First Line : 7050 TAFT ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-3804
Country : US
Telephone Number : 943-399-9014
Fax Number : 954-367-7175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 12/06/2023

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Directions to “ DR. MOISES A ISSA M.D.” Practice Location

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