Therese A Ibrahim in Ormond Beach - Family Medicine
Therese A Ibrahim - NPI 1063514172
Therese A Ibrahim is a Family Medicine in Ormond Beach, Florida. Therese A Ibrahim practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Therese A Ibrahim is 1063514172. The last update date is 2021-11-29.
Therese A Ibrahim's current location address is 420 S Nova Rd Ste 4&5, Ormond Beach, Florida. You can contact this provider via phone number 3866158122 and fax number 8448993686. The mailing address for Therese A Ibrahim is 420 S Nova Rd Ste 4&5, Ormond Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Therese A Ibrahim |
|---|---|
| Address | 420 S Nova Rd Ste 4&5, Ormond Beach, Florida |
| Phone Number | 3866158122 |
| Fax Number | 8448993686 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063514172 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2021-11-29 |
Provider Mailing Address Detail
| Address | 420 S Nova Rd Ste 4&5 |
|---|---|
| City | Ormond Beach |
| State | Florida (FL) |
| Post Code | 321740410 |
| Phone Number | 3866158122 |
| Fax Number | 8448993686 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME94322 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Therese A Ibrahim by the Centers for Medicare & Medicaid Services?
The Therese A Ibrahim has been issued the NPI (National Provider Identifier) 1063514172 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Therese A Ibrahim is physically located?
The Therese A Ibrahim is physically situated at the following address: 420 S Nova Rd Ste 4&5, Ormond Beach, FL, 321740410.
What is the Therese A Ibrahim's specialty and taxonomy code?
The Therese A Ibrahim's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Therese A Ibrahim receive its 1063514172 assignment from the Centers for Medicare & Medicaid Services?
The Therese A Ibrahim was assigned its 1063514172 by the Centers for Medicare & Medicaid Services on 2006-09-01.
As of what date was the information regarding Therese A Ibrahim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Therese A Ibrahim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-29.
NPI Number: 1982607784
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