Ali Eltoum, Mohamed Ibrahim
Ali Eltoum, Mohamed Ibrahim is an sole proprietor health care provider with primary practice located at 5454 Central Ave Suite A, Saint Petersburg FL 33707-6129. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ali Eltoum, Mohamed Ibrahim can be contacted via phone (727) 347-5242.Contact Information
Primary practice address
5454 Central Ave Suite A
Saint Petersburg FL 33707-6129
Phone: (727) 347-5242
Fax: (727) 347-2402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | ME100366 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME100366 | Florida |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME100366 | Florida |
Profile Details
| NPI number | 1598794026 |
|---|---|
| LBN Legal business name | Ali Eltoum, Mohamed Ibrahim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Sep 15th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598794026 | NPPES |
| Florida | Other | BJ846 | MEDICARE GROUP |
| Florida | Other | 263769693 | MEDICARE GROUP |
| Florida | MEDICAID | 000929000 | MEDICARE GROUP |
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