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Active NPI 1780576389 Individual Practitioner Male Practitioner

Mark Ibrahim

Specialist/Technologist - Speech-Language Assistant • Kissimmee, FL

Professional Overview & Biography Verified Profile Summary

Mark Ibrahim is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Kissimmee, FL. Practice services are available at 1200 N CENTRAL AVE STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 N Central Ave Ste 110

Kissimmee, FL 347414439

Telephone 4072017429
Associated Practice Facility / Clinic
🏢 First Step Therapy Llc Facility NPI 1871262147

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Kissimmee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.3 Yrs
Regional Practice Density
105 Specialists

Practicing in Kissimmee, FL (1584 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-17
Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License FL SI7380

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rebecca Valmond , COTA, L

Occupational Therapy Assistant

NPI 1003502923

Certified Occupational Therapy Assistant, L

Kelly Vansciver

Developmental Therapist

NPI 1013514611
Heather Finnegan

Occupational Therapist

NPI 1043016504
Maria Moreno Satizabal

Specialist/Technologist - Speech-Language Assistant

NPI 1063148047
NPI 1104127612

Doctor of Physical Therapy

Johnice Poleon

Specialist/Technologist - Speech-Language Assistant

NPI 1104415918

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 17, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2025

Registered at 1200 N CENTRAL AVE STE 110, KISSIMMEE, FL 347414439 (Tel: 4072017429)

📍
Updated Business Mailing Address July 17, 2025

Registered at 1200 N CENTRAL AVE STE 110, KISSIMMEE, FL 347414439 (Tel: 4072017429)

👤
Provider Name / Credentials Updated July 17, 2025

Recorded as MARK IBRAHIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2025

Specialist/Technologist (License #SI7380 in FL)

🟢
Initial NPI Registration & Enumeration July 17, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780576389
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2025
Last Update: July 17, 2025
Sole Proprietor: No

Mailing Address

1200 N Central Ave Ste 110

Kissimmee, FL 347414439

Phone: 4072017429

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.