Individual
LAILAH ISSAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3301 COLLEGE AVE, RM 1433, DAVIE, FL 33314-7722
(954) 262-5590
(954) 262-5570
Mailing address
PO BOX 290370, DAVIE, FL 33329-0370
(954) 262-4317
(954) 262-2269
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS14744
FL
Other
Enumeration date
06/03/2010
Last updated
12/12/2023
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