MEDICARE: YASEL ALMEIDA REGUEIRO

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	DN27306	FL

General Provider Information

NPI Number	:	1376172940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASEL ALMEIDA REGUEIRO

Provider Business Mailing Address
First Line	:	4317 WATERFORD LANDING DR
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33558-9727
Country	:	US
Telephone Number	:	813-401-7577
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5603
Country	:	US
Telephone Number	:	352-204-1254
Fax Number	:

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

Provider Enumeration Date	:	04/06/2020
Last Update Date	:	01/04/2023

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Directions to “ YASEL ALMEIDA REGUEIRO ” Practice Location

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