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NPI Code Detail

MEDICARE: DR. SAMUEL H DICORTE JR. M.D.

MEDICARE: DR. SAMUEL H DICORTE JR. 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
1207Q00000XFamily Medicine PhysicianME103750FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00769359OTHERFLRAILROAD MEDICARE PROVIDER NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518150366
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL H DICORTE JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 1728
Second Line :
City : CLEARWATER
State : FL
Zip : 33757-1728
Country : US
Telephone Number : 727-532-0002
Fax Number : 727-532-1318
Provider Business Practice Location Address
First Line : 1306 SEVEN SPRINGS BLVD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-5643
Country : US
Telephone Number : 727-372-3143
Fax Number : 727-372-3963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2007
Last Update Date : 05/10/2012

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