Provider Demographics
NPI:1629266010
Name:T.Z. HAMAWAY, MD, PA
Entity Type:Organization
Organization Name:T.Z. HAMAWAY, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:Z
Authorized Official - Last Name:HAMAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:954-524-1314
Mailing Address - Street 1:1800 E LAS OLAS BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2444
Mailing Address - Country:US
Mailing Address - Phone:954-524-1314
Mailing Address - Fax:954-463-4763
Practice Address - Street 1:1800 E LAS OLAS BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2444
Practice Address - Country:US
Practice Address - Phone:954-524-1314
Practice Address - Fax:954-463-4763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME13646174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7585Medicare PIN