Healthcare Provider Details

I. General information

NPI: 1023041332
Provider Name (Legal Business Name): NABIL HILWA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 11/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 STONEROCK CIR
ORLANDO FL
32819-8004
US

IV. Provider business mailing address

7301 STONEROCK CIR
ORLANDO FL
32819-8004
US

V. Phone/Fax

Practice location:
  • Phone: 407-298-6950
  • Fax: 407-578-2354
Mailing address:
  • Phone: 407-298-6950
  • Fax: 407-578-2354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME32104
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: