Individual
DR. ISAAC GEORGE ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 17TH ST BUILDING N, SARASOTA, FL 34234-8690
(941) 529-0200
(855) 526-0216
Mailing address
1750 17TH ST BUILDING N, SARASOTA, FL 34234-8690
(941) 529-0200
(941) 260-8724
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME105660
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME105660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003750900
—
FL
01
—
14AK9
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/27/2008
Last updated
12/05/2024
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