DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAILAH ISSAC, DO

Active

LAILAH ISSAC, DO is a Sports Medicine (PM&R) healthcare provider located in DAVIE, Florida. NPI 1629398441 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · DAVIE, FL

Registration Details

NPI Number
1629398441
Provider Type
Individual
Gender
Female
NPI Issued
Jun 3, 2010 (16.153708366337 yrs)
Last Updated
Dec 12, 2023
License
OS14744 (FL)

Practice Information

Address
3301 COLLEGE AVE
RM 1433
DAVIE, FL, 333147722
Browse FL providers · Browse ZIP 33314
Phone
9542625590
Fax
9542625570
Primary Specialty
Sports Medicine (PM&R)
2081S0010X

Other Sports Medicine (PM&R) Providers in DAVIE, FL

Name Credential NPI
JESSICA BENSHOSHAN 1376933507
CHRISTOPHER BOLDRIN PTA, CSCS 1184461576
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.