Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Persichilli, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366237174

Samuel Persichilli, DO is a Student in an Organized Health Care Education/Training Program in Miami, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (305) 355-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence UO11138 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (FL)

Record details

NPI number1366237174
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 11, 2025
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

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