Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fady Labib-Ibrahim, PA

Individual provider Medical Physician Assistant · NPI 1871878405

Fady Labib-Ibrahim, PA is a Physician Assistant in Fort Myers, Florida. Qualified in 2011, 15 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342
Phone: (855) 979-5700
Fax: (855) 979-5701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106197 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9106197 (FL)

Record details

NPI number1871878405
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 14, 2011
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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