MEDICARE: DORIS HAMAWY MD PA

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	BH5127433	FL

General Provider Information

NPI Number	:	1649382185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DORIS HAMAWY MD PA

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	:	OWNER
Name	:	DR. DORIS A HAMAWY
Credential	:	MD.
Telephone Number	:	954-340-9117

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/10/2020

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