Individual
VINNY SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2639 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33704-2733
(727) 822-6661
(727) 823-1334
Mailing address
2639 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33704-2733
(727) 822-6661
(727) 823-1334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME105292
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME105292
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME105292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004762200
—
FL
01
—
GC363Z
MEDICARE PTAN
FL
01
—
P01081066
RAILROAD MEDICARE
FL
Enumeration date
01/23/2007
Last updated
02/23/2026
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