MEDICARE: MS. IKRAM BERRY GAMAL-ELDIN FNP,RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11038554	FL

General Provider Information

NPI Number	:	1316806268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. IKRAM BERRY GAMAL-ELDIN FNP,RN

Provider Business Mailing Address
First Line	:	12700 66TH ST APT 1309
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-1732
Country	:	US
Telephone Number	:	727-637-6072
Fax Number	:

Provider Business Practice Location Address
First Line	:	6767 86TH AVE N
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33782-4597
Country	:	US
Telephone Number	:	727-548-5566
Fax Number	:	727-548-6644

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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