Individual
DR. IBRAHIM NASSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0535
(352) 627-4173
Mailing address
1600 SW ARCHER RD, BOX 100109, GAINESVILLE, FL 32610
(352) 265-0761
(352) 265-0190
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME150532
FL
2086X0206X
Surgical Oncology Physician
Primary
ME150532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110945600
—
FL
Enumeration date
03/25/2012
Last updated
09/27/2023
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