BRIAN B IBRAHIM
Medical Practice at 28 St, Fort Lauderdale, FL

License number
Florida 107558
Issued Date
Jun 28, 2010
Effective Date
Jun 28, 2010
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Medical Doctor
Address
Address
2807 NE 28Th St, Fort Lauderdale, FL 33306
Phone
(954) 909-9472
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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BRIAN B. IBRAHIM, MD PA

Fort Lauderdale, FL  -  Miami, FL

Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Registration:
Sep 28, 2011
Addresses:
2807 NE 28 St, Fort Lauderdale, FL 33306 (Physical)
2950 NE 188 St, Miami, FL 33180
State ID:
P11000085499
Business type:
Florida Profit Corporation
President:
Brian B Ibrahim (President), 2807 NE 28 St, Fort Lauderdale, FL 33306 (Physical)
Agent:
Brian Ibrahim,2807 NE 28 St, Fort Lauderdale, FL 33306 (Physical)
EIN:
453504630

Brian B Ibrahim MD

14050 NW 14 St, Fort Lauderdale, FL 33323

Industry:
Nonclassifiable Establishments

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