Organization
ISSA.MED P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANI ISSA M.D. (PRESIDENT)
(217) 416-6431
Entity
Organization
Contact information
Practice address
2 PAVILLION PLACE, PENNEY FARMS, FL 32079
(217) 416-6431
Mailing address
1907 ATLANTIC BLVD STE 1, JACKSONVILLE, FL 32207-3405
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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