Organization
PCP VISION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOISES ISSA MD (PRESIDENT)
(954) 983-9191
Entity
Organization
Contact information
Practice address
6517 TAFT ST, HOLLYWOOD, FL 33024-4062
(954) 983-9191
(954) 983-1152
Mailing address
6517 TAFT ST, HOLLYWOOD, FL 33024-4062
(954) 983-9191
(954) 983-1152
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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