Healthcare Provider Details

I. General information

NPI: 1124049457
Provider Name (Legal Business Name): MOHAMMED NAZIR HAMOUI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12900 CORTEZ BLVD SUITE 101
BROOKSVILLE FL
34613-6828
US

IV. Provider business mailing address

14690 SPRING HILL DR STE 305
SPRING HILL FL
34609-8102
US

V. Phone/Fax

Practice location:
  • Phone: 352-596-1101
  • Fax: 352-596-7869
Mailing address:
  • Phone: 352-277-5348
  • Fax: 352-606-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME0034613
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: