Organization
EBRAHIM HOOSIEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBRAHIM HOOSIEN MD (OWNER)
(561) 422-0082
Entity
Organization
Contact information
Practice address
13005 SOUTHERN BLVD, SUITE 211, LOXAHATCHEE, FL 33470-9272
(561) 422-0082
(561) 422-0083
Mailing address
13005 SOUTHERN BLVD, SUITE 211, LOXAHATCHEE, FL 33470-9272
(561) 422-0082
(561) 422-0083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME86884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269666500
—
FL
Enumeration date
12/21/2010
Last updated
02/25/2013
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