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

Rose Ibrahim

Individual provider Physician Assistant · NPI 1902576150

Rose Ibrahim is a Physician Assistant in Orlando, Florida. Qualified in 2022, 4 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Massachusetts.

Years since qualifying
4
Licensed in
FL, MA
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

125 W Copeland Dr
Orlando, FL 32806-2101
Phone: (321) 841-7090
Fax: (321) 843-2267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 360 Huntington Avenue, Boston, MA 02115 — (617) 373-3195

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9119022 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9089 (MA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1902576150
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2021
Last updated in NPPESOctober 16, 2024
Certification dateOctober 11, 2024
Mailing address125 W Copeland Dr, Orlando, FL 32806

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Orlando