Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME32104 | FL |
NPI | 1023041332 |
---|---|
Provider Name | Nabil Hilwa |
First Address | Orlando, FL 32819-8004 |
Second Address | Orlando, FL 32819-8004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 10/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
059930100 | (05) | FL |
ME32104 | MEDICAL LICENSE (01) | FL |