Basic Information
Provider Information
NPI: 1497911762
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMOUI
FirstName: NABEEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14690 SPRING HILL DR STE 305
Address2:  
City: SPRING HILL
State: FL
PostalCode: 346098102
CountryCode: US
TelephoneNumber: 3522775348
FaxNumber: 3526062857
Practice Location
Address1: 12900 CORTEZ BLVD STE 101
Address2:  
City: BROOKSVILLE
State: FL
PostalCode: 346136897
CountryCode: US
TelephoneNumber: 3525961101
FaxNumber: 3525967869
Other Information
ProviderEnumerationDate: 08/05/2008
LastUpdateDate: 04/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X125050781ILN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
208800000XME114234FLY Allopathic & Osteopathic PhysiciansUrology 

No ID Information.


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