Organization
ISA MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABEL CRISTINA ANEZ DIAZ (MANAGER MEMBER)
(407) 209-5451
Entity
Organization
Contact information
Practice address
9350 W US-192 HWY, DAVENPORT, FL 33897
(786) 280-6011
Mailing address
9350 W US-192 HWY, DAVENPORT, FL 33897
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
05/21/2025
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