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Organization

BRIAN B IBRAHIM MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN B IBRAHIM MD (PRESIDENT)
(954) 647-2326
Entity
Organization

Contact information

Practice address
4200 WASHINGTON ST, HOLLYWOOD, FL 33021-7353
(954) 981-6300
Mailing address
2950 NE 188TH ST, #311, AVENTURA, FL 33180-2708
(954) 647-2326

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/07/2011
Last updated
10/07/2011
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