Provider Demographics
NPI:1750012019
Name:ISAAC HEALTH FLORIDA PROFESSIONAL ASSOCIATION
Entity Type:Organization
Organization Name:ISAAC HEALTH FLORIDA PROFESSIONAL ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-214-8653
Mailing Address - Street 1:4530 S ORANGE BLOSSOM TRL # 768
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-1704
Mailing Address - Country:US
Mailing Address - Phone:917-214-8653
Mailing Address - Fax:
Practice Address - Street 1:4530 S ORANGE BLOSSOM TRL # 768
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-1704
Practice Address - Country:US
Practice Address - Phone:888-818-2059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty