Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Issa Med PA

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1376217364

Issa Med PA is a Geriatric Medicine (Internal Medicine) Physician in Penney Farms, Florida. Works from 5 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2 Pavillion Pl
Penney Farms, FL 32079
Phone: (217) 416-6431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 4410 Lewis Ave, Penney Farms, FL 32079 — (217) 416-6431
  • 3497 Caroline Blvd, Penney Farms, FL 32079 — (217) 416-6431
  • 4510 Lewis Ave, Penney Farms, FL 32079 — (217) 416-6431
  • 3465 Caroline Blvd, Penney Farms, FL 32079 — (217) 416-6431

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1376217364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hani Issa — President · (217) 416-6431
NPI enumeratedAugust 4, 2021
Last updated in NPPESAugust 4, 2021
Certification dateJuly 9, 2021
Mailing address1907 Atlantic Blvd Ste 1, Jacksonville, FL 32207-3405