Provider Demographics
NPI:1649382185
Name:DORIS HAMAWY MD PA
Entity Type:Organization
Organization Name:DORIS HAMAWY MD PA
Other - Org Name:DORIS HAMAWY MD & BRIDGET SILVA MD PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMAWY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-340-9117
Mailing Address - Street 1:10230 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3940
Mailing Address - Country:US
Mailing Address - Phone:954-340-9117
Mailing Address - Fax:954-340-9923
Practice Address - Street 1:10230 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3940
Practice Address - Country:US
Practice Address - Phone:954-340-9117
Practice Address - Fax:954-340-9923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBH5127433207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF81698Medicare UPIN
FLG89138Medicare UPIN