Ibrahim, Joseph Abdellatif

Ibrahim, Joseph Abdellatif is an individual health care provider with primary practice located at 77 W Underwood St Ste 200, Orlando FL 32806-1122. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Ibrahim, Joseph Abdellatif can be contacted via phone (407) 649-6884.

Contact Information

Primary practice address
77 W Underwood St Ste 200 Orlando FL 32806-1122
Phone: (407) 649-6884
Fax: (407) 245-7059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 43819 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 43819 Tennessee
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME111076 Florida

Profile Details

NPI number 1902093545
LBN Legal business name Ibrahim, Joseph Abdellatif
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Nov 11th, 2016 - about 8 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 1902093545 NPPES
Florida MEDICAID 004240700
Florida Other ME111076

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