Individual
ELIEZER MOSHE IZSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 S 11TH ST STE 1, LAKE WALES, FL 33853-4239
(863) 679-9494
(863) 679-8866
Mailing address
425 S 11TH ST STE 1, LAKE WALES, FL 33853-4239
(863) 679-9494
(863) 679-8866
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME36693
FL
Other
Enumeration date
09/21/2006
Last updated
11/26/2019
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