# HOSSAM IBRAHIM MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BAY AREA DIABETES&ENDOCRINOLOGY SPEICALISTS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649443383
- **Authorized official:** NAGWA MALEK (OFFICE MANGER)
- **Authorized official phone:** (727) 218-8025

## Contact information

- **Practice address:** 8839 BRYAN DAIRY RD, SUITE110, LARGO, FL 33777-1201
- **Practice address phone:** (727) 216-8025
- **Practice address fax:** (727) 230-0693
- **Mailing address:** 8839 BRYAN DAIRY RD, SUITE110, LARGO, FL 33777-1201
- **Mailing address phone:** (727) 216-8025
- **Mailing address fax:** (727) 230-0693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME58202 | FL | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 04/14/2008