NPI 1699722827 · live from the CMS NPI Registry
Ibrahim Ahmed Abdalla Wafik, M.D.
Internal Medicine in Ormond Beach, FL. National Provider Identifier 1699722827, active.
NPI record
| NPI | 1699722827 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 875 Sterthaus Ave, Ormond Beach, FL 32174 |
| Practice phone | 386-676-0255 |
| Mailing address | 200 Corporate Blvd, Lafayette, LA 70508 |
| Enumerated | May 31, 2006 |
| Last updated | October 8, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | MD.23353 (AL) |
| Specialist | 174400000X | ME71172 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.