OMAR IBRAHIM MD
NPI 1053114801
Student in an Organized Health Care Education/Training Program in St Petersburg, FL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 28, 2025

1200 7TH AVE N, ST PETERSBURG, FL 33705(813) 586-6993 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Omar Ibrahim Md NPPES

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

OMAR IBRAHIM MD (NPI 1053114801) is an individual student in an organized health care education/training program in St Petersburg, Florida and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1053114801

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameOMAR IBRAHIMCredential: MD

Location Address1200 7TH AVE NSt Petersburg, FL 33705-1300

Mailing Address1200 7th Ave NSt Petersburg, FL 33705-1300

Phone(813) 586-6993

Sole ProprietorNo

Enumeration DateMarch 28, 2025

NPPES CertifiedMarch 28, 2025

✔ NPI 1053114801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1200 7TH AVE N, St Petersburg, FL 33705

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