Provider Demographics
NPI:1124049457
Name:HAMOUI, M NAZIR (MD)
Entity type:Individual
Prefix:
First Name:M
Middle Name:NAZIR
Last Name:HAMOUI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14690 SPRING HILL DR
Mailing Address - Street 2:STE 305
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-277-5348
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:12900 CORTEZ BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-6828
Practice Address - Country:US
Practice Address - Phone:352-596-1101
Practice Address - Fax:352-596-7869
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2020-11-27
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Provider Licenses
StateLicense IDTaxonomies
FLME0034613208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL038403800Medicaid
FLD53432Medicare UPIN
FL038403800Medicaid