Individual
DR. TONY M IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 355-1035
Mailing address
1801 NW 9TH AVE STE 700, MIAMI, FL 33136-1100
(305) 355-1035
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
ME148212
FL
207P00000X
Emergency Medicine Physician
ME148212
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME148212
FL
Other
Enumeration date
06/05/2018
Last updated
12/12/2022
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