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Contact Information

BASSEM B IBRAHIM, MD
18550 US HIGHWAY 441
MOUNT DORA, FL32757
 Phone: 352-735-3755
 Fax: 352-385-0033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BASSEM B IBRAHIM · (Male)

NPI # 1346683505
Status Active
Credentials MD
Entity Individual
Enumeration date 04/08/2013
Last updated 06/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME126737
Hospital affiliation(s)
  • FLORIDA HOSPITAL WATERMAN - (Acute Care)
    1000 WATERMAN WAY
    TAVARES, FL 32778
  • LEESBURG REGIONAL MEDICAL CENTER - (Acute Care)
    600 E DIXIE AVE
    LEESBURG, FL 34748
  • VILLAGES REGIONAL HOSPITAL THE - (Acute Care)
    1451 EL CAMINO REAL
    THE VILLAGES, FL 32159
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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