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NPI Code Detail

MEDICARE: SOPHIA MIKHAIL DMD

MEDICARE:   SOPHIA  MIKHAIL  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry26060FL

General Provider Information

NPI Number : 1609445618
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA MIKHAIL DMD
Provider Business Mailing Address
First Line : 10427 SHELDON RD
Second Line :
City : TAMPA
State : FL
Zip : 33626-5110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10427 SHELDON RD
Second Line :
City : TAMPA
State : FL
Zip : 33626-5110
Country : US
Telephone Number : 813-302-7126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2021
Last Update Date : 06/30/2021

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Directions to “ SOPHIA MIKHAIL DMD” Practice Location

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