Organization
BASSEL IBRAHIM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASSEL B IBRAHIM MD (OWNER)
(954) 362-3426
Entity
Organization
Contact information
Practice address
1150 N 35TH AVE, SUITE 240, HOLLYWOOD, FL 33021-5424
(954) 362-3426
(954) 961-8733
Mailing address
1150 N 35TH AVE, SUITE 240, HOLLYWOOD, FL 33021-5424
(954) 362-3426
(954) 961-8733
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME51232
FL
Other
Enumeration date
06/02/2014
Last updated
08/26/2014
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