MEDICARE: DR. SAMI SREIS D.M.D

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	1223G0001X	General Practice Dentistry	29544	FL

General Provider Information

NPI Number	:	1619345444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMI SREIS D.M.D

Provider Business Mailing Address
First Line	:	101 E KENNEDY BLVD STE 300
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5847
Country	:	US
Telephone Number	:	813-701-3141
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 E KENNEDY BLVD STE 300
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5847
Country	:	US
Telephone Number	:	813-701-3141
Fax Number	:

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

Provider Enumeration Date	:	09/10/2015
Last Update Date	:	09/29/2025

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