MEDICARE: DORIS A HAMAWY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME0065637	FL

General Provider Information

NPI Number	:	1003966128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORIS A HAMAWY M.D.

Provider Business Mailing Address
First Line	:	10230 W SAMPLE RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3940
Country	:	US
Telephone Number	:	954-340-9117
Fax Number	:	954-340-9923

Provider Business Practice Location Address
First Line	:	10230 W SAMPLE RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3940
Country	:	US
Telephone Number	:	954-340-9117
Fax Number	:	954-340-9923

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	07/08/2007

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