MEDICARE: SHOUKRY SOLIMAN D.D.S.

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
1	122300000X	Dentist	DN9913	FL

General Provider Information

NPI Number	:	1215371836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHOUKRY SOLIMAN D.D.S.

Provider Business Mailing Address
First Line	:	1615 FARRIER TRAIL
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765
Country	:	US
Telephone Number	:	727-791-7299
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 PARK DR STE 7
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33763-1021
Country	:	US
Telephone Number	:	727-791-7299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2013
Last Update Date	:	04/25/2013

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