PRIMARY CARE PHYSICINS OF HOLLYWOOD PA (NPI# 1972947117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972947117 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PHYSICINS OF HOLLYWOOD PA |
| Other Organization Name | PCP RX DIRECT |
| Practice Address |
6517 Taft St Suite 101 Hollywood FL 33024-4008 |
| Practice Telephone | 9549839191 |
| Practice Fax Number | 9549831152 |
| Mailing Telephone | 9549839191 |
| Mailing Fax Number | 9549831152 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |
| Authorized Official Name | MOISES ISSA (PRESIDENT) |
| Authorized Official Telephone | 9549839191 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PCP RX DIRECT | Doing Business As Name - Organization |
| Street Address |
6517 TAFT ST SUITE 101 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120827 | Omar Jose Brito | Family Medicine | 6517 Taft St, Suite 2007, Hollywood, FL 33024-4048 | 2005-08-03 |
| 1447861463 | Victoria Maniotis | Nurse Practitioner | 6517 Taft St, Hollywood, FL 33024-4062 | 2020-08-13 |
| 1689101933 | Stephen Hugo Perez | Family Medicine | 6517 Taft St, Hollywood, FL 33024-4062 | 2017-05-17 |
| 1730614926 | Pedro Christian Castellanos | General Practice | 6517 Taft St, Hollywood, FL 33024-4062 | 2017-04-25 |
| 1598202517 | Carolina Raudez | Nurse Practitioner | 6517 Taft St, Hollywood, FL 33024-4062 | 2017-01-28 |
| 1972969749 | Pcp Vision Services LLC | Optometrist | 6517 Taft St, Hollywood, FL 33024-4062 | 2016-01-11 |
| 1861744823 | Diagnostic Medical Imaging of Hollywood LLC | Clinic/Center | 6517 Taft St, Num 103, Hollywood, FL 33024-4008 | 2012-10-15 |
| 1477804888 | Veritas Dental Hollywood Pa | Dentist | 6517 Taft St, Hollywood, FL 33024-4008 | 2012-09-25 |
| 1083945919 | Taft Rehab Center | Exclusive Provider Organization | 6517 Taft St, 200, Hollywood, FL 33024-4050 | 2010-01-15 |
| 1982887956 | Back To Comfort LLC | Chiropractor | 6517 Taft St, Hollywood, FL 33024-4050 | 2007-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| 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 |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1699265363 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 3700 Washington St Ste 203, Hollywood, FL 33021-8249 | 2018-05-17 |
| 1174048433 | Robert Terry Smith | Internal Medicine | 1530 Seagrape Way, Hollywood, FL 33019-4862 | 2017-08-08 |
| 1528425204 | Jody Ritter | Internal Medicine | 3700 Washington St Ste 500a, Hollywood, FL 33021-8256 | 2016-01-26 |
| 1639534787 | Renovo Medical Consulting | Internal Medicine | 4770 Stono Links Dr, Hollywood, SC 29449-5984 | 2015-12-16 |
| 1669849741 | Anay Puntonet | Internal Medicine | 3700 Washington St Ste 305, Hollywood, FL 33021-8249 | 2015-08-25 |
| 1861898843 | Metamorphosis Medispa & Wellness Center | Internal Medicine | 2104 Tyler St, Hollywood, FL 33020-6717 | 2014-11-18 |
| 1053720243 | Foundation for Sickle Cell Disease Research | Internal Medicine | 3858 Sheridan St Ste S, Hollywood, FL 33021-3625 | 2014-08-12 |
| 1487096210 | Murray Neil Cohen | Internal Medicine | 2820 Fairway Dr, Hollywood, FL 33021-2937 | 2013-07-22 |
| 1942555107 | Luis M Gonzalez Sr. | Internal Medicine | 1200 S Federal Hway, Lux Medical Health Center, Hollywood, FL 33020 | 2012-07-13 |
| Find all providers in HOLLYWOOD | ||||
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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.