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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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