Ibn Imani, D.P.M

NPI 1497052658 · on the registry since 2011 · sole proprietor

Practice

Address: 1628 N Plaza Dr
Tallahassee, FL 32308
Phone: (850) 402-9042
Organisation at this address: Dr Ibn Imani, Dpm Llc
Shaun E Laurie Professional Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 213EP1101X
213EP1101X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida