Bassel B Ibrahim
Interventional Cardiology
603 N Flamingo Rd Ste 255
Pembroke Pines
, Florida 33028-1013
Bassel B Ibrahim
Interventional Cardiology
603 N Flamingo Rd Ste 255
Pembroke Pines
, Florida 33028-1013
(954) 985-7074
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About
Features
Specialties
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Bassel B Ibrahim
- 2900 Corporate Way Door D
- Miramar, FL
- Zip : 33025-3925
- Fax : (954) 985-7074
- Phone : (954) 985-5685
Second Address
- Bassel B Ibrahim
- 603 N Flamingo Rd Ste 255
- Pembroke Pines, FL
- Zip : 33028-1013
- Fax : (954) 981-1129
- Phone : (954) 265-7900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0011X | Interventional Cardiology | ME51232 | FL |
National Provider Identifier
| NPI | 1104863364 |
|---|---|
| Provider Name | Bassel B Ibrahim |
| First Address | Miramar, FL 33025-3925 |
| Second Address | Pembroke Pines, FL 33028-1013 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2006 |
| Last Update Date | 15/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 056347100 | (05) | FL |
| E88781 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.