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1063514172
THERESE A IBRAHIM
ORMOND BEACH, FL
NPI
1063514172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME94322)
Enumeration Date
2006-09-01
Last Update Date
2021-11-29
Business Address
Dr. THERESE A IBRAHIM MD
420 S NOVA RD STE 4&5
ORMOND BEACH, FL 32174-0410
Phone number: 386-615-8122
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Mailing Address
Dr. THERESE A IBRAHIM MD
6101 BLUE LAGOON DR STE 400
MIAMI, FL 33126-2051
Phone number: 305-500-2000
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