OrganizationActive
Lake Urology Clinic
NPI 1811902604 · Urology Physician · Leesburg, FL
Lake Urology Clinic is a Urology Physician organization in Leesburg, FL (NPI 1811902604).
Provider details
- NPI number
- 1811902604
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fouad Shami, Partner(352) 787-4567
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
616 N Palmetto St
Leesburg, FL 34748-4417
Phone: (352) 787-4567
Fax: (352) 787-0370
Street-level locationGet directions
Mailing address
616 N Palmetto St
Leesburg, FL 34748-4417
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2007-09-28
Frequently asked questions
- What is Lake Urology Clinic's NPI number?
- Lake Urology Clinic's National Provider Identifier (NPI) is 1811902604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Urology Clinic?
- Lake Urology Clinic is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Urology Clinic located?
- Lake Urology Clinic's practice location on file with NPPES is 616 N Palmetto St, Leesburg, FL 34748-4417.
- What is Lake Urology Clinic's phone number?
- The practice phone number listed in the NPPES registry for Lake Urology Clinic is (352) 787-4567.
- Who is the authorized official for Lake Urology Clinic?
- The authorized official listed on Lake Urology Clinic's NPPES record is Fouad Shami, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Urology Clinic's NPI active?
- Yes — Lake Urology Clinic's NPI (1811902604) is active in the NPPES registry as of the last update on 2007-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.