Individual
SUSAN HAMOUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11260 SULLIVAN ST, RIVERVIEW, FL 33578-2140
(813) 689-7571
(813) 654-8129
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(813) 689-7571
(813) 654-8129
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS16629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106745000
—
FL
Enumeration date
04/05/2017
Last updated
09/08/2021
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