MOHAMED GHONIEM IBRAHIM PT
NPI 1043488216
Specialist in Lady Lake, FL

Active since February 11, 2008
607 HIGHWAY 466, SUITE A, LADY LAKE, FL 32159(352) 787-0669 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mohamed Ghoniem Ibrahim Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMED GHONIEM IBRAHIM PT (NPI 1043488216) is an individual specialist in Lady Lake, Florida, licensed in Florida (PT 12757) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1043488216
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMOHAMED GHONIEM IBRAHIMCredential: PT
Location Address607 HIGHWAY 466, SUITE ALady Lake, FL 32159-3792
Mailing Address607 Highway 466, Suite ALady Lake, FL 32159-3792 · (352) 787-0669
Sole ProprietorNo
Enumeration DateFebruary 11, 2008
NPI 1043488216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · PT 12757
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.
607 HIGHWAY 466, Lady Lake, FL 32159

Other Identifiers 1

OtherPT 12757FL · Pt Lic

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
607 HIGHWAY 466, A
LADY LAKE, FL 32159
Family Medicine
607 HIGHWAY 466
LADY LAKE, FL 32159
Physician Assistant
607 HIGHWAY 466
LADY LAKE, FL 32159
Physical Therapist
607 HIGHWAY 466, A
LADY LAKE, FL 32159
Family Medicine
607 HIGHWAY 466
LADY LAKE, FL 32159
Nurse Practitioner
607 HIGHWAY 466
LADY LAKE, FL 32159
Family Medicine
607 HIGHWAY 466
LADY LAKE, FL 32159
Family Medicine (Adult Medicine)
607 HIGHWAY 466
LADY LAKE, FL 32159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohamed Ibrahim's NPI number?

The NPI number for Mohamed Ibrahim is 1043488216. It was assigned to this individual provider in the NPPES registry on February 11, 2008.

Where is Mohamed Ibrahim located?

Mohamed Ibrahim practices at 607 Highway 466 Suite A, Lady Lake, FL 32159. The listed phone number is (352) 787-0669.

What is Mohamed Ibrahim's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mohamed Ibrahim was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.