DR. Therese A Ibrahim, MD
NPI #1063514172 in Ormond Beach, Florida
Provider Information
- NPI Number
- 1063514172
- Entity Type
- Individual
- Name
- DR. Therese A Ibrahim, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Sep 1, 2006
- Last Updated
- Nov 29, 2021
Practice Location
- Address
- 420 S NOVA RD STE 4&5
- City
- Ormond Beach
- State
- Florida
- ZIP Code
- 32174-0410
- Phone
- (386) 615-8122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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