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JOSEPH ABDELLATIF IBRAHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
77 W UNDERWOOD ST, STE 200, ORLANDO, FL 32806-1122
(407) 649-6884
(407) 245-7059
Mailing address
77 W UNDERWOOD ST, STE 200, ORLANDO, FL 32806-1122
(407) 649-6884
(407) 245-7059

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
43819
TN
2086S0102X
Surgical Critical Care Physician
Primary
ME111076
FL
2086S0127X
Trauma Surgery Physician
43819
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004240700
FL
01
ME111076
MEDICAL LICENSE
FL
Enumeration date
09/27/2007
Last updated
11/11/2016
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