LAKE UROLOGY CLINIC
NPI 1811902604
Urology in Leesburg, FL

Active since July 30, 2006
616 N PALMETTO ST, LEESBURG, FL 34748(352) 787-4567(352) 787-0370 Get Directions Write a Review

NPPES record last updated: September 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Urology Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE UROLOGY CLINIC (NPI 1811902604) is a healthcare organization registered as an urology in Leesburg, Florida and active in the NPI registry since July 2006. The organization lists Fouad M Shami, Partner, as its authorized official.

NPPES Registry Identity

NPI1811902604
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameLAKE UROLOGY CLINIC
Location Address616 N PALMETTO STLeesburg, FL 34748-4417
Mailing Address616 N Palmetto StLeesburg, FL 34748-4417 · (352) 787-4567 · Fax (352) 787-0370
Fax(352) 787-0370
Organization SubpartNo
Authorized OfficialFouad M ShamiPartner · (352) 787-4567
Enumeration DateJuly 30, 2006
Last NPPES UpdateSeptember 28, 2007
NPI 1811902604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
616 N PALMETTO ST, Leesburg, FL 34748

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
616 N PALMETTO ST
LEESBURG, FL 34748
Orthopaedic Surgery (Sports Medicine)
616 N PALMETTO ST
LEESBURG, FL 34748
Urology
616 N PALMETTO ST
LEESBURG, FL 34748
Radiology (Diagnostic Radiology)
616 N PALMETTO ST
LEESBURG, FL 34748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Urology Clinic's NPI number?

The NPI number for Lake Urology Clinic is 1811902604. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Lake Urology Clinic located?

Lake Urology Clinic is located at 616 N Palmetto St, Leesburg, FL 34748. The listed phone number is (352) 787-4567.

What is Lake Urology Clinic's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Lake Urology Clinic was last updated on September 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.