| NPI | 1114149481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. NAZIR HAMOUI Provider/Owner 352-596-1101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME0034613) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME34613) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-01-25 |