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

Marian Ibrahim, MD

Individual provider Dermatology Physician · NPI 1548571821

Marian Ibrahim, MD is a Dermatology in Lutz, Florida. Graduated from Wayne State University School of Medicine in 2010, 16 years ago. Practices with Midstate Skin Institute LLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
16
Trained at
Wayne State University School of Medicine
Licensed in
FL, MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4651 Van Dyke Rd
Lutz, FL 33558-4880
Phone: (813) 321-1786
Fax: (813) 321-1787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14407 N Dale Mabry Hwy, Tampa, FL 33618-2026 — (813) 321-1786

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME151841 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence 4301097012 (MI)

Record details

NPI number1548571821
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2010
Last updated in NPPESMarch 7, 2023
Certification dateFebruary 25, 2022
Mailing address4651 Van Dyke Rd, Lutz, FL 33558-4880

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Midstate Skin Institute Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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