Lake Urology Clinic

NPI #1811902604 in Leesburg, Florida

Provider Information

NPI Number
1811902604
Entity Type
Organization
Organization Name
Lake Urology Clinic
Primary Specialty
Urology
Enumeration Date
Jul 30, 2006
Last Updated
Sep 28, 2007

Practice Location

Address
616 N PALMETTO ST
State
Florida
ZIP Code
34748-4417
Phone
(352) 787-4567

Authorized Official

Name
FOUAD M SHAMI, M.D.
Title
PARTNER
Phone
(352) 787-4567

Specialties & Taxonomy Codes

Specialty
Urology

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