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Mohamed Ghoniem Ibrahim, PT
Specialist in Lady Lake, Florida
NPI 1043488216

Mohamed Ghoniem Ibrahim is a Specialist based in Lady Lake, FL. Mohamed Ghoniem Ibrahim practices in Lady Lake, FL and has the professional credentials of PT. The NPI Number for Mohamed Ghoniem Ibrahim is 1043488216 and holds a License No. PT 12757 (Florida).

The current practice location address for Mohamed Ghoniem Ibrahim is 607 Highway 466, Lady Lake, FL and can be reached out via phone at 352-787-0669.

Location: 607 Highway 466, Lady Lake, FL, 32159-3792
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043488216
Provider Name
Mohamed Ghoniem Ibrahim
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
607 Highway 466, Lady Lake, FL, 32159-3792
Phone Number
352-787-0669
Fax Number
Provider Enumeration Date
02/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT 12757 01 FL PT LIC
institution
Provider Business Practice Location Address Details
Address
607 Highway 466
City
Lady Lake
State
Florida
Zip
32159-3792
Phone Number
352-787-0669
Fax Number
person
Provider Business Mailing Address Details
Address
607 Highway 466
City
Lady Lake
State
Florida
Zip
32159-3792
Phone Number
352-787-0669
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT 12757 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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