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Individual

DR. IBRAHIM IHSAN JABBOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
3375 BURNS RD STE 206, PALM BEACH GARDENS, FL 33410-4361
(561) 799-9559
Mailing address
8806 SONOMA LAKE BLVD, BOCA RATON, FL 33434-4069
(561) 454-9114

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME141027
FL
2086S0127X
Trauma Surgery Physician
Primary
ME141027
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107204900
FL
Enumeration date
06/21/2012
Last updated
11/21/2022
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