MEDICARE: SIMON VINARSKY MD

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	207RH0003X	Hematology & Oncology Physician	ME94705	FL
2	207RH0003X	Hematology & Oncology Physician	102156	MT
3	207RX0202X	Medical Oncology Physician	102156	MT
4	207RX0202X	Medical Oncology Physician	ME94705	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00382943	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	55737	OTHER	FL	BCBS OF FL

General Provider Information

NPI Number	:	1245268838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMON VINARSKY MD

Provider Business Mailing Address
First Line	:	293 LANSING ISLAND DR
Second Line	:
City	:	INDIAN HARBOUR BEACH
State	:	FL
Zip	:	32937-5102
Country	:	US
Telephone Number	:	321-307-0034
Fax Number	:

Provider Business Practice Location Address
First Line	:	3555 10TH CT STE 200B
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5013
Country	:	US
Telephone Number	:	772-563-4673
Fax Number	:

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	07/22/2025

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Directions to “ SIMON VINARSKY MD” Practice Location

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