Organization
SHORELINE UROCARE PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR HAMOUI MD (MANAGING MEMBER)
(352) 650-1064
Entity
Organization
Contact information
Practice address
11373 CORTEZ BLVD STE 405, BROOKSVILLE, FL 34613-5406
(352) 650-1064
Mailing address
11373 CORTEZ BLVD STE 405, BROOKSVILLE, FL 34613-5406
(352) 650-1064
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 104726
MEDICAL LICENSE
FL
Enumeration date
06/19/2009
Last updated
11/26/2025
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