Individual
IBRAHIM BOHSALI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 NEBRASKA AVE, STE 1-D, FORT PIERCE, FL 34950-4864
(772) 464-8707
Mailing address
2215 NEBRASKA AVE, STE 1-D, FORT PIERCE, FL 34950-4864
(772) 464-8707
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME0017794
FL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
ME0017794
FL
Other
Enumeration date
08/02/2005
Last updated
09/11/2025
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