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Individual

DR. LABIB MIKRAM GHULMIYYAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1625 SE 3RD AVE STE 415-A, FORT LAUDERDALE, FL 33316-2521
(954) 958-9959
(855) 855-2793
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 958-9959
(855) 855-2793

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME146339
FL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME146339
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107802100
FL
01
3708246618
MYUTMB 3708246618-COMMERCIAL NUMBER
Enumeration date
06/14/2007
Last updated
02/03/2025
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