Organization
IBRAHIM H. AMJAD, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM HOSAIN AMJAD M.D. (PRESIDENT)
(305) 267-8885
Entity
Organization
Contact information
Practice address
1100 SW 57TH AVE, PENTHOUSE #1, WEST MIAMI, FL 33144-5122
(305) 267-8885
(305) 265-0142
Mailing address
PO BOX 558568, MIAMI, FL 33255-8568
(305) 267-8885
(305) 265-0142
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME 70663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264381200
—
FL
Enumeration date
12/12/2007
Last updated
10/14/2008
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