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

Mohammad Ibrahim Fardos

Individual provider Dermatology Physician · NPI 1104575588

Mohammad Ibrahim Fardos is a Dermatology Physician in Port Richey, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

8220 US Highway 19
Port Richey, FL 34668-6639
Phone: (727) 588-5704
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 23826 (FL)

Record details

NPI number1104575588
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address8220 Us Highway 19, Port Richey, FL 34668-6639

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