Individual
FOUAD M SHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
511 MEDICAL PLAZA DR, SUITE 101, LEESBURG, FL 34748-7326
(352) 728-6808
(352) 728-1743
Mailing address
511 MEDICAL PLAZA DR STE 101, LEESBURG, FL 34748-7328
(352) 728-6808
(352) 728-1743
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0020978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052665700
—
FL
01
—
35120
BCBS OF FLORIDA
FL
Enumeration date
02/28/2006
Last updated
05/20/2013
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