Male or Other

Mr. Ivan Islamaj PA-C

Medical Physician Assistant in Hollywood, FL(View on Map)

Full Name

Mr. Ivan Islamaj PA-C

NPI Number

1174924963

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/11/2014

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9107915

Contact
Information

Purpose

Mailing
Location

Address

2525 EMBASSY DR STE 5
2525 EMBASSY DR STE 5

City

Hollywood
Hollywood

State

FL
FL

Postal Code

33026-4573
33026-4573

Country

US
US

Telephone Number

(216) 502-6577
(888) 267-6362

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/14/2024

Provider Address

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