Individual
ASSER IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4340 S FLORIDA AVE, LAKELAND, FL 33813-1631
(407) 535-8863
Mailing address
4340 S FLORIDA AVE, LAKELAND, FL 33813-1631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS61055
FL
Other
Enumeration date
04/21/2021
Last updated
12/26/2022
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