Haj Obeid, Jack Ibrahim
Haj Obeid, Jack Ibrahim is an sole proprietor health care provider with primary practice located at 17929 Hunting Bow Cir Ste 102 , Lutz FL 33558. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Haj Obeid, Jack Ibrahim can be contacted via phone (813) 751-7855.Contact Information
Primary practice address
17929 Hunting Bow Cir Ste 102
Lutz FL 33558
Phone: (813) 751-7855
Fax: (813) 475-5283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME87987 | Florida |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME87987 | Florida |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | K9076 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 29034 | Oklahoma |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | ME87987 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME87987 | Florida |
Profile Details
| NPI number | 1104808054 |
|---|---|
| LBN Legal business name | Haj Obeid, Jack Ibrahim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jan 18th, 2023 - about last year |
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 | 1104808054 | NPPES |
| Florida | MEDICAID | 267303700 |
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