Provider Demographics
NPI:1922531144
Name:ISILDAK, HACER (MD)
Entity Type:Individual
Prefix:
First Name:HACER
Middle Name:
Last Name:ISILDAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1638 NW 10TH AVE
Mailing Address - Street 2:MCKNIGHT BLDG. SUITE 110
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1015
Mailing Address - Country:US
Mailing Address - Phone:305-482-4774
Mailing Address - Fax:
Practice Address - Street 1:1638 NW 10TH AVE
Practice Address - Street 2:MCKNIGHT BLDG. SUITE 110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1015
Practice Address - Country:US
Practice Address - Phone:305-482-4774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ13819207W00000X
FLMFC1790207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology