Lake Urology Clinic

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

LAKE UROLOGY CLINIC

Practice address

616 N Palmetto St
Leesburg, FL 34748-4417

Phone

(352) 787-4567

Fax

(352) 787-0370

NPI assigned

Jul 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fouad M Shami, M.D.

Title

Partner

Phone

(352) 787-4567

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1811902604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N PALMETTO ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484417",
            "telephone_number": "352-787-4567",
            "fax_number": "352-787-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N PALMETTO ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484417",
            "telephone_number": "352-787-4567",
            "fax_number": "352-787-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE UROLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "SHAMI",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "352-787-4567",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Neurology Clinic, P.a.
• Lake Pulmonary & Sleep Disorders Clinic P.a.
• Lake Square Chiropractic, P.a.
• Lake Surgery & Endoscopy Center LTD
• Lake Surgical Clinic PA
• Lakeview Healthcare System, LLC
• Lakeview Internal Medicine P.a.
• Cathy Lambert, LCSW
• Meghan Cary Lamm, PHARMD
• Chiayun Lan, DDS

• All providers in Leesburg, FL
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.