HOSSAM IBRAHIM, M.D.
Osteopathic Medicine at 1 Ave, Saint Petersburg, FL

License number
Florida ME0058202
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Address
Address 2
2763 1St Ave N, Saint Petersburg, FL 33713
8839 Bryan Dairy Rd SUITE 110, Largo, FL 33777
Phone
(727) 623-9913
(727) 803-6852 (Fax)
(727) 216-8025
(727) 230-0693 (Fax)
National Provider ID: 1639168990
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HOSSAM IBRAHIM 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

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