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JOSEPH ABDELLATIF IBRAHIM MD NPI 1902093545


NPI Information

NPI: 1902093545
Provider Name: JOSEPH ABDELLATIF IBRAHIM, MD
Classification: Surgery - 2086S0102X
Entity Type: Individual

Specialization: Surgical Critical Care

PECOS Registration: Yes

Address:
77 W UNDERWOOD ST
STE 200
ORLANDO, FL
ZIP 32806
Phone: (407) 649-6884
Get Directions

Joseph Abdellatif Ibrahim, MD is a surgical critical care surgery in Orlando, FL with 21 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Joseph Abdellatif Ibrahim, MD NPI is 1902093545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

77 W UNDERWOOD ST
STE 200
ORLANDO, FL
ZIP 32806-122
Phone: (407) 649-6884
Fax: (407) 245-7059

The NPI 1902093545 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 11/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0127XSurgeryTrauma Surgery43819TENNESSEENo
2208600000XSurgery43819TENNESSEENo
32086S0102XSurgerySurgical Critical CareME111076FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ME111076OTHERFLORIDAMEDICAL LICENSE
2004240700MEDICAIDFLORIDA
3FR006ZMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.