Individual
MOHAMMAD IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19101 CORTEZ BLVD STE 10065, BROOKSVILLE, FL 34601-3013
(352) 325-9294
(352) 606-5723
Mailing address
19101 CORTEZ BLVD STE 10065, BROOKSVILLE, FL 34601-3013
(352) 573-0240
(352) 606-5723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0095660
NJ
208M00000X
Hospitalist Physician
Primary
ME95660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275431200
—
FL
Enumeration date
07/20/2006
Last updated
09/27/2024
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