Abdalla Wafik, Ibrahim Ahmed

Abdalla Wafik, Ibrahim Ahmed is an sole proprietor health care provider with primary practice located at 875 Sterthaus Ave , Ormond Beach FL 32174-5131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Abdalla Wafik, Ibrahim Ahmed can be contacted via phone (386) 676-0255.

Contact Information

Primary practice address
875 Sterthaus Ave Ormond Beach FL 32174-5131
Phone: (386) 676-0255
Fax: (386) 676-2555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.23353 Alabama
Other Service Providers / Specialist 174400000X ME71172 Florida

Profile Details

NPI number 1699722827
LBN Legal business name Abdalla Wafik, Ibrahim Ahmed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Oct 8th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699722827 NPPES
Florida MEDICAID 251018900

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