Fahdi, Ibrahim
Fahdi, Ibrahim is an individual health care provider with primary practice located at 1681 Eagle Harbor Pkwy Ste 101 , Fleming Island FL 32003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fahdi, Ibrahim can be contacted via phone (904) 644-0092.Contact Information
Primary practice address
1681 Eagle Harbor Pkwy Ste 101
Fleming Island FL 32003
Phone: (904) 644-0092
Fax: (904) 644-0099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME113759 | Florida |
Profile Details
| NPI number | 1588754055 |
|---|---|
| LBN Legal business name | Fahdi, Ibrahim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jul 12th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588754055 | NPPES |
| Florida | MEDICAID | 006622500 | |
| Florida | Other | P00165055 | |
| Florida | MEDICAID | 1588754055 |
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