Ibrahim Jabbour MD PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

IBRAHIM JABBOUR MD PLLC

Practice address

2560 Rca Blvd Ste 106
Palm Beach Gardens, FL 33410-3336

Phone

(561) 799-9559

NPI assigned

Feb 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ibrahim Ihsan Jabbour, MDNPI 1174886386

Title

Owner

Phone

(561) 454-9114

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ibrahim Ihsan Jabbour, MD, MPH

  • Trauma Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1174886386
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1992401319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 SONOMA LAKE BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344069",
            "telephone_number": "561-454-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103336",
            "telephone_number": "561-799-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM JABBOUR MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "JABBOUR",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "IHSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-454-9114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyperbarics of Palm Beach
• Hanna Iacono
• Janelle Rei Tobio Ibalarrosa
• Sailys Ibarra Agromayor
• Vincent Odinakachi Ibezim II, PHARMD
• Icare Medical Staffing, Inc.
• Iconic Eye Care Inc
• Aimee Idell
• Iglesias Eye Associates LLC
• Adam Iglesias, PH.D.

• Surgery Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.