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NPI Code Detail

MEDICARE: VINNY SAMUEL M.D.

MEDICARE: VINNY SAMUEL 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
1207RP1001XPulmonary Disease PhysicianME105292FL
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianME105292FL
3207R00000XInternal Medicine PhysicianME105292FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1GC363ZOTHERFLMEDICARE PTAN
3P01081066OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649324682
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINNY SAMUEL M.D.
Provider Business Mailing Address
First Line : 2639 DR MARTIN LUTHER KING JR ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33704-2733
Country : US
Telephone Number : 727-822-6661
Fax Number : 727-823-1334
Provider Business Practice Location Address
First Line : 2639 DR MARTIN LUTHER KING JR ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33704-2733
Country : US
Telephone Number : 727-822-6661
Fax Number : 727-823-1334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 02/23/2026

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