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DR. MOHAMED IBRAHIM ALI ELTOUM M.D.

Sleep Medicine >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1598794026

Individual Registrant:
DR. MOHAMED IBRAHIM ALI ELTOUM M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
5454 CENTRAL AVE SUITE A SAINT PETERSBURG, FL 33707-6129 US
Tel: 727-347-5242  Fax: 727-347-2402

Contact information for business:
5454 CENTRAL AVE SUITE A SAINT PETERSBURG, FL 33707-6117 US
Tel: 727-347-5242  Fax: 727-347-2402

Registration Information:
NPI: 1598794026
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RS0012XAllopathic & Osteopathic Physicians
Internal Medicine
Sleep Medicine
FLME100366
Y207RP1001XAllopathic & Osteopathic Physicians
Internal Medicine
FLME100366
N207RC0200XAllopathic & Osteopathic Physicians
Internal Medicine
FLME100366

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000929000FL05
GROUP TAX ID263769693FL01
MEDICARE GROUPBJ846FL01




HEALTH CARE JOBS FL - Page 1



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