Individual
MODAR ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
654 NE 9TH PL, HOMESTEAD, FL 33030-4934
(305) 248-3488
Mailing address
16872 SW 137TH AVE APT 235, MIAMI, FL 33177-2394
(305) 502-4986
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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