Individual
DR. JACK IBRAHIM HAJ OBEID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
ME87987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267303700
—
FL
Enumeration date
11/16/2005
Last updated
08/14/2025
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