| Doctors Isaac & Isaac Psychiatric Pa | |
|
3310 Cleveland Heights Blvd Ste 202 Lakeland FL 33803-4717 | |
| (718) 614-5600 | |
| (718) 460-0802 |
| Full Name | Doctors Isaac & Isaac Psychiatric Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 3310 Cleveland Heights Blvd Ste 202, Lakeland, Florida |
| Authorized Official Name and Position | George Issac (OWNER / PROVIDER) |
| Authorized Official Contact | 7186145600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Isaac & Isaac Psychiatric Pa 3310 Cleveland Heights Blvd Ste 202 Lakeland FL 33803-4717 Ph: (718) 614-5600 | Doctors Isaac & Isaac Psychiatric Pa 3310 Cleveland Heights Blvd Ste 202 Lakeland FL 33803-4717 Ph: (718) 614-5600 |
| NPI Number | 1679202618 |
|---|---|
| Provider Enumeration Date | 06/06/2022 |
| Last Update Date | 06/06/2022 |
| Certification Date | 06/06/2022 |
| Medicare PECOS PAC ID | 7214313170 |
|---|---|
| Medicare Enrollment ID | O20220929001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679202618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Isaac G Isaac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063681773 PECOS PAC ID: 2860670478 Enrollment ID: I20110630000420 |
| Provider Name | George Isaac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043279342 PECOS PAC ID: 9537056213 Enrollment ID: I20220929001306 |
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