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1619918760
HISHAM IZZADIN IBRAHIM
WINTER GARDEN, FL
NPI
1619918760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: NV 17166)
Enumeration Date
2006-06-09
Last Update Date
2020-03-25
Business Address
HISHAM IZZADIN IBRAHIM M.D
1210 E PLANT ST STE 120
WINTER GARDEN, FL 34787-2995
Phone number: 407-297-8408
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Mailing Address
HISHAM IZZADIN IBRAHIM M.D
3333 E CAMELBACK RD STE 180
PHOENIX, AZ 85018-2396
Phone number: 602-759-6883
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