Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | ME110382 | FL |
NPI | 1104037522 |
---|---|
Provider Name | Dr. Mohamed Samy Adel Elhammady |
First Address | Clearwater, FL 33757-8744 |
Second Address | Tampa, FL 33614-7144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 23/09/2016 |