Individual provider · Type 1 NPI

Jalal Ibrahim, DO

Student in an Organized Health Care Education/Training Program · Cape Coral, FL

NPI number 1497685648 Active

Practice location

636 Del Prado Blvd S
Cape Coral, FL 33990-2668

Mailing address

1540 Crooked Stick Dr
Valrico, FL 33596-7815

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1497685648

Jalal Ibrahim, DO's National Provider Identifier is 1497685648, issued on May 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cape Coral, FL. The record was last updated on May 20, 2026.