Ibrahim, Joseph Abdellatif
Ibrahim, Joseph Abdellatif is an individual health care provider with primary practice located at 77 W Underwood St Ste 200, Orlando FL 32806-1122. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Ibrahim, Joseph Abdellatif can be contacted via phone (407) 649-6884.Contact Information
Primary practice address
77 W Underwood St Ste 200
Orlando FL 32806-1122
Phone: (407) 649-6884
Fax: (407) 245-7059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 43819 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 43819 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | ME111076 | Florida |
Profile Details
| NPI number | 1902093545 |
|---|---|
| LBN Legal business name | Ibrahim, Joseph Abdellatif |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2007 |
| Last updated | Nov 11th, 2016 - about 10 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 | 1902093545 | NPPES |
| Florida | MEDICAID | 004240700 | |
| Florida | Other | ME111076 |
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