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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SAMUEL PERSICHILLI DO
NPI 1366237174
Family Medicine in Miami, FL

Active since April 11, 2025
1611 NW 12TH AVE, MIAMI, FL 33136(305) 355-1122 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2026, Apr 11, 2025 (2 updates tracked since 2025).

About Samuel Persichilli Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL PERSICHILLI DO (NPI 1366237174) is an individual family medicine provider in Miami, Florida, licensed in Florida (UO11138) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1366237174
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMUEL PERSICHILLICredential: DO
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1611 Nw 12th AveMiami, FL 33136-1005
Phone(305) 355-1122
Sole ProprietorNo
Enumeration DateApril 11, 2025
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1366237174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · UO11138
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1611 NW 12TH AVE, Miami, FL 33136
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN CHITTY MD
Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6913
MS. DEBRA JEANNE DIAZ CRNA
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8684
VALERIE DIAZ CRNA
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6586
DR. SCOTT KOHL DO
Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (954) 709-0966
DR. CAMERON DEZFULIAN MD
Pediatrics (Pediatric Critical Care Medicine)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
LOAY SALMAN MD
Internal Medicine (Nephrology)
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
ANGELA ROSE BURRAFATO M.D.
Internal Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6524
MRS. RHONDA JANE SMITH RN, MSN, ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Persichilli's NPI number?

The NPI number for Samuel Persichilli is 1366237174. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Samuel Persichilli located?

Samuel Persichilli practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 355-1122.

What is Samuel Persichilli's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Samuel Persichilli was last updated on July 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.