| Lailah Issac, DO | |
|
3301 College Ave, Rm 1433, Davie, FL 33314-7722 | |
| (954) 262-5590 | |
| (954) 262-5570 |
| Full Name | Lailah Issac |
|---|---|
| Gender | Female |
| Speciality | Sports Medicine |
| Experience | 16 Years |
| Location | 3301 College Ave, Davie, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629398441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | OS14744 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nova Southeastern University Inc | 4486568896 | 89 |
| Entity Name | Nova Southeastern University Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700924511 PECOS PAC ID: 4486568896 Enrollment ID: O20031118000987 |
| Mailing Address | Practice Location Address |
|---|---|
| Lailah Issac, DO Po Box 290370, Davie, FL 33329-0370 Ph: (954) 262-4317 | Lailah Issac, DO 3301 College Ave, Rm 1433, Davie, FL 33314-7722 Ph: (954) 262-5590 |
Christopher Boldrin, PTA, CSCS Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5850 S Pine Island Rd, Davie, FL 33328 Phone: 954-800-5826 Fax: 954-708-1469 | |
Jessica Benshoshan, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6251 Palm Trace Landings Dr, Apt # 113, Davie, FL 33314 Phone: 954-817-2219 | |
Dr. Steven Paul Ritucci Jr., D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1713 Whitehall Dr Apt 203, Davie, FL 33324 Phone: 508-889-0642 |