HOSSAM IBRAHIM MD PLLC
Osteopathic Medicine at Bryan Dairy Rd, Largo, FL

License number
Florida ME58202
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: NAGWA MALEK
Title: OFFICE MANGER
Phone: (727) 218-8025
Address
Address
8839 Bryan Dairy Rd, Largo, FL 33777
National Provider ID: 1649443383
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HOSSAM IBRAHIM MD PLLC at bizstanding.com

HOSSAM IBRAHIM MD PLLC

Largo, FL

Status:
Inactive
Industry:
Internist
Doing business as:
Hossam Ibrahim MD
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jan 17, 2007
Inactive since:
Sep 26, 2014
Phone:
(727) 216-8025 (Phone)
Addresses:
8839 Bryan Dairy Rd 110, Seminole, FL 33777 (Physical)
8839 Bryan Dairy Rd, Seminole, FL 33777
State ID:
L07000005723
Business type:
Florida Limited Liability Company
S:
Hossim Ibrahim, 8839 Bryan Dairy Rd, Seminole, FL 33777 (Physical),Hossam Ibrahim
Agent:
Ibrahim, Hossam,8839 Bryan Dairy Rd, Seminole, FL 33777 (Physical)
EIN:
208250079

Osteopathic Medicine licenses in Florida










Other Doctors licenses in Florida