# EZRA MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285404962
- **Authorized official:** ISAAC SOSKIN (MEMBER)
- **Authorized official phone:** (917) 509-2538

## Contact information

- **Practice address:** 1780 POLK ST FL 11, SUITE D, HOLLYWOOD, FL 33020-4611
- **Practice address phone:** (917) 509-2538
- **Mailing address:** 1780 POLK ST FL 11, HOLLYWOOD, FL 33020-4611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2024
- **Last updated:** 01/04/2024