PRIMARY CARE PHYSICIANS OF HOLLYWOOD, PL (NPI# 1538659388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538659388 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PHYSICIANS OF HOLLYWOOD, PL |
| Practice Address |
10650 W State Road 84 Ste 104 Davie FL 33324-4235 |
| Mailing Address |
2488 N University Dr Pembroke Pines FL 33024-3624 |
| Practice Telephone | 9549839191 |
| Practice Fax Number | 9549831152 |
| Mailing Telephone | 9549839191 |
| Mailing Fax Number | 9549831152 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | MOISES A ISSA (PRESIDENT) |
| Authorized Official Telephone | 9545634472 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710477369 | Primary Care Physicians of Hollywood, Pl | Family Medicine | 2701 E Atlantic Blvd Fl 1, Pompano Beach, FL 33062-4941 | 2018-05-18 |
| 1194215947 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 601 N Flamingo Rd Ste 104, Pembroke Pines, FL 33028-1007 | 2018-05-17 |
| 1699265363 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 3700 Washington St Ste 203, Hollywood, FL 33021-8249 | 2018-05-17 |
| 1831689512 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 8880 Royal Palm Blvd Ste 105, Coral Springs, FL 33065-5727 | 2018-05-17 |
| 1801386461 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 8251 W Broward Blvd Ste 102, Plantation, FL 33324-2703 | 2018-05-18 |
| 1457841017 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 6517 Taft St Ste 101, Hollywood, FL 33024-4063 | 2018-05-18 |
| 1962992651 | Primary Care Physicians of Hollywood, Pl | Family Medicine | 3001 Nw 49th Ave Ste 100, Lauderdale Lakes, FL 33313-7257 | 2018-05-17 |
| 1942790621 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 2057 N University Dr, Sunrise, FL 33322-3936 | 2018-05-17 |
| 1154811834 | Primary Care Physicians of Hollywood, Pl | Family Medicine | 612 S State Road 7, Margate, FL 33068-1734 | 2018-05-17 |
| 1053362665 | Primary Care Physicians of Hollywood, Pl | Family Medicine | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2006-05-16 |
| Street Address |
10650 W STATE ROAD 84 STE 104 |
| City | DAVIE |
| State | FL |
| Zip Code | 33324-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962962316 | Southeast Wellness Lane Corp | Internal Medicine | 13265 Sw 39th St, Davie, FL 33330-4748 | 2019-03-21 |
| 1487153441 | Everglades Physicians Alliance LLC | Internal Medicine | 4745 Volunteer Road, Suite 301, Davie, FL 33330 | 2018-02-06 |
| 1275947434 | Rosa M Ferra | Internal Medicine | 13361 Sw 44th St, Davie, FL 33330-4713 | 2014-06-16 |
| 1255766218 | Medical Care Group LLC | Internal Medicine | 4431 Sw 64th Ave Ste 101, Davie, FL 33314-3458 | 2013-09-10 |
| 1326386848 | Nova Southeastern University | Internal Medicine | 3424 S University Dr, Suite 3440, Davie, FL 33328-2022 | 2013-01-17 |
| 1427351667 | Emile Jean-baptiste | Internal Medicine | 15010 Sw 40th St, Davie, FL 33331-2775 | 2010-12-09 |
| 1013242932 | Dana D Dameron Jr. | Internal Medicine | 4848 Grapevine Way, Davie, FL 33331-3358 | 2009-10-09 |
| 1871779058 | Affordahealth Pain Relief Center Inc | Internal Medicine | 8480 W State Road 84, Davie, FL 33324-4533 | 2008-01-17 |
| 1457543746 | Ivel Cristina De Freitas | Internal Medicine | 4765 Sw 148th Ave Ste 404, Davie, FL 33330-2128 | 2007-08-10 |
| 1972724029 | Azhar Dalal | Internal Medicine | 15358 Sw 37th St, Davie, FL 33331-2743 | 2007-05-02 |
| Find all providers in DAVIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.