NPIMap

Organization Active NPI

Primary Care Physicians of Hollywood, PL

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1194215947
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY CARE PHYSICIANS OF HOLLYWOOD, PL
Practice address
601 N Flamingo Rd Ste 104
Pembroke Pines, FL 33028-1007
Phone
(954) 983-9191
Fax
(954) 983-1152
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Moises A Issa, MD
Title
President
Phone
(954) 563-4472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

601 N Flamingo Rd Ste 104
Pembroke Pines, FL 33028-1007

Mailing address

2488 N University Dr
Pembroke Pines, FL 33024-3624
Phone (954) 983-9191

National Provider Directory

National Provider Directory
Tax ID family
Primary Care Physicians of Hollywood PL13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1194215947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243624",
            "telephone_number": "954-983-9191",
            "fax_number": "954-983-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281007",
            "telephone_number": "954-983-9191",
            "fax_number": "954-983-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PHYSICIANS OF HOLLYWOOD, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "MOISES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-563-4472",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.