Ibrahim, Bassel B

Ibrahim, Bassel B is an individual health care provider with primary practice located at 603 N Flamingo Rd Ste 255 , Pembroke Pines FL 33028-1013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Ibrahim, Bassel B can be contacted via phone (954) 265-7900.

Contact Information

Primary practice address
603 N Flamingo Rd Ste 255 Pembroke Pines FL 33028-1013
Fax: (954) 981-1129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME51232 Florida

Profile Details

NPI number 1104863364
LBN Legal business name Ibrahim, Bassel B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Mar 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104863364 NPPES
Florida MEDICAID 056347100

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