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General NPI Number Information
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NPI Number | 1679971030
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Entity Type | Organization
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Legal Business Name | ISMAIL M.D., P.A.
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Dates
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Enumeration Date | 12/16/2014
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 7707 N UNIVERSITY DR STE 204
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City | TAMARAC
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State | FL
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Zip | 33321-2966
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Country | US
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Telephone | 954-601-6321
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Fax | 954-231-1227
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Provider Business Mailing Address
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Address Line | 7707 N UNIVERSITY DR STE 204
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City | TAMARAC
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State | FL
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Zip | 33321-2966
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Country | US
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Telephone | 954-601-6321
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Fax | 954-231-1227
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MUHAMMAD IQBAL ISMAIL
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Credential | M.D.
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Telephone | 954-849-8986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME67059
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License Number State | FL
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