Samuel, Vinny
Samuel, Vinny is an individual health care provider with primary practice located at 2639 Dr Martin Luther King Jr St N , St Petersburg FL 33704-2733. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Samuel, Vinny can be contacted via phone (727) 822-6661.Contact Information
Primary practice address
2639 Dr Martin Luther King Jr St N
St Petersburg FL 33704-2733
Phone: (727) 822-6661
Fax: (727) 823-1334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME105292 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME105292 | Florida |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME105292 | Florida |
Profile Details
| NPI number | 1649324682 |
|---|---|
| LBN Legal business name | Samuel, Vinny |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Aug 17th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649324682 | NPPES |
| Florida | Other | GC363Z | MEDICARE PTAN |
| Florida | MEDICAID | 004762200 | MEDICARE PTAN |
| Florida | Other | P01081066 | MEDICARE PTAN |
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