Individual
MR. IVAN ISLAMAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2525 EMBASSY DR STE 5, HOLLYWOOD, FL 33026-4573
(888) 267-6362
(954) 416-6118
Mailing address
2525 EMBASSY DR STE 5, HOLLYWOOD, FL 33026-4573
(216) 502-6577
(305) 701-9902
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107915
FL
Other
Enumeration date
09/11/2014
Last updated
11/14/2024
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