Individual
EMIL K IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 S STATE ROAD 7 STE 209, WELLINGTON, FL 33414-6136
(561) 448-1632
Mailing address
114 W 7TH ST STE 900, AUSTIN, TX 78701-3013
(512) 838-4264
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35-06-8896-1
OH
2084P0800X
Psychiatry Physician
35896-20
WI
2084P0800X
Psychiatry Physician
Primary
ME106479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20869900
—
OH
Enumeration date
09/07/2005
Last updated
05/16/2022
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