Organization Active NPI

The MD Telemedicine Network PLLC

Doing business as The MD PLLC

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1205599453
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE MD TELEMEDICINE NETWORK PLLC
Doing business as
The MD PLLC
Practice address
6515 Taft St
Hollywood, FL 33024-4008
Phone
(305) 343-0604
NPI assigned
Oct 14, 2021
Last updated
Jul 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Moises Issa
Title
Owner
Phone
(888) 608-4363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

6515 Taft St
Hollywood, FL 33024-4008

Mailing address

6515 Taft St
Hollywood, FL 33024-4008
Phone (305) 343-0604

Other names 1

  • THE MD PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1205599453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244008",
            "telephone_number": "305-343-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244008",
            "telephone_number": "305-343-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MD TELEMEDICINE NETWORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "MOISES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-608-4363"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MD PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE MD PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.