Individual
GHAZALEH EBRAHIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
(305) 284-7500
(305) 284-7755
Mailing address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
(305) 284-7500
(305) 284-7755
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TRN40022
FL
Other
Enumeration date
01/28/2022
Last updated
06/13/2024
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