DR. ABIE ALIAS SAMUEL


Address: 620 10th St N, St Petersburg, FL 33705-1407
Phone: 7278248325

DR. ABIE ALIAS SAMUEL (NPI# 1720287659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720287659
Entity Type Individual
Full Name DR. ABIE ALIAS SAMUEL
Other Name DR. ABIE NELLATT ALIAS
Credential D.O.
Practice Address 620 10th St N
St Petersburg
FL 33705-1407
Mailing Address Po Box 12868
St Petersburg
FL 33733-2868
Practice Telephone 7278248325
Practice Fax Number 7278248347
Mailing Telephone 7275320002
Mailing Fax Number 7272664943
Enumeration Date 2007-07-11
Last Update Date 2016-11-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine OS11459 FL Allopathic & Osteopathic Physicians
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
OS11459 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 004276600 05

Office Location

Street Address 620 10TH ST N
City ST PETERSBURG
State FL
Zip Code 33705-1407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235124967 James C. Mauch Dermatology 620 10th St N, St Petersburg, FL 33705-1407 2005-09-19
1639716764 Rebecca Grimm Nurse Practitioner 620 10th St N, St Petersburg, FL 33705-1407 2019-12-09
1306211743 Saint Petersburg Interventional Pain Management LLC Pain Medicine 620 10th St N, Suite 2d, St Petersburg, FL 33705-1407 2015-12-10
1992100788 Tiffany Todd Nurse Practitioner 620 10th St N, St Petersburg, FL 33705-1407 2014-10-23
1457751687 Warren S Gilbert Physician Assistant 620 10th St N, St Petersburg, FL 33705-1407 2014-08-25
1417369588 Cory Nelson Family Medicine 620 10th St N, St Petersburg, FL 33705-1407 2014-05-23
1679997753 Allison N Kyle Nurse Practitioner 620 10th St N, St Petersburg, FL 33705-1407 2014-02-11
1427488360 Jessie Bardin Sereda Nurse Practitioner 620 10th St N, St Petersburg, FL 33705-1407 2013-11-13
1174960694 Conrad Hernandez Vinalon Jr. Family Medicine 620 10th St N, St Petersburg, FL 33705-1407 2013-05-23
1174967129 Monica Cristina Bovee Specialist/Technologist 620 10th St N, Suite 1d, St Petersburg, FL 33705-1407 2013-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154935781 Caressa Alice Slocum Psychologist 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 2020-09-01
1386133015 Angela Ann Little Social Worker 920 Country Club Way S, St Petersburg, FL 33705 2018-05-08
1497279483 Infinity Health Consultants, LLC. In Home Supportive Care 1001 27th Avenue South, St. Petersburg, FL 33705 2017-08-01
1801320528 Dedicated Senior Medical Center St. Petersburg, LLC. Non-Pharmacy Dispensing Site 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 2017-04-19
1790135762 Robin Dong Emergency Medicine 1095 5th Ave N, St. Petersburg, FL 33705 2016-06-20
1437550084 Community Health Center of Pinellas Inc Clinic/Center 612 Dr Martin L King St N, St Petersburg, FL 33705 2014-09-12
1164851754 Jennifer Carey Counselor 11 Mlk Jr St South, St. Petersburg, FL 33705 2013-11-05
1750623997 Dannaly Reyes Baerga Physical Medicine & Rehabilitation 1201 5th Ave N Ste 202, St Petersburg, FL 33705 2013-03-26
1518209055 Nii Sai Torto Emergency Medicine 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 2013-03-22
1790034635 Melissa White Kidwell Physical Therapist 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 2012-09-06
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437132263 Arnaldo Torres Internal Medicine 6711 38th Ave N, St Petersburg, FL 33710-1536 2005-11-25
1427227693 Allergy & Rheumatology Associates LLC Internal Medicine 5100 Seminole Blvd, St Petersburg, FL 33708-3354 2008-02-21
1194919233 St Petersburg Arthritis Center Pa Internal Medicine 6711 38th Ave N, St Petersburg, FL 33710-1536 2007-08-31
1902992456 Michelle S Spuza Milord Internal Medicine 5100 Seminole Blvd, St Petersburg, FL 33708 2006-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619588654 Wellness Institute of Miami Inc Internal Medicine 14114 Sw 42nd Ter, Miami, FL 33175-3644 2020-08-13
1003465253 Mpp Infusion Center of Doctor Phillips, LLC Internal Medicine 6068 S Apopka Vineland Rd Ste 4, Orlando, FL 32819-4449 2019-09-10
1407408883 Mpp Infusion Center of Kissimmee, LLC Internal Medicine 607 Oak Commons Blvd, Kissimmee, FL 34741-4213 2019-07-15
1811559487 Mpp Infusion Center of Port St Lucie LLC Internal Medicine 525 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986-1605 2019-07-03
1336606383 Infusion Center of Jacksonville, LLC Internal Medicine 11512 Lake Mead Ave Ste 302-303, Jacksonville, FL 32256-9680 2019-02-26
1972069946 Mid-florida Rheumatology LLC Internal Medicine 1743 Park Center Dr Ste 400, Orlando, FL 32835-7621 2019-02-14
1992269468 Rheumatology Center of Palm Beach Pllc Internal Medicine 3918 Via Poinciana Ste 2, Lake Worth, FL 33467-2991 2019-01-29
1598205072 American Arthritis & Rheumatology Associates LLC Internal Medicine 2255 Glades Rd Ste 228w, Boca Raton, FL 33431-7391 2017-03-02
1275904575 Florida Rheumatology Associates Inc Internal Medicine 6801 Us Highway 27 N Ste A2, Sebring, FL 33870-1000 2015-10-13
1033580709 Brett R. Hutton, M.d., P.a. Internal Medicine 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 2015-10-07
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Competitor

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City ST PETERSBURG
Zip Code 33705

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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