Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083097406 Individual Practitioner Male Practitioner

Dr. Samuel Defigarelli , MD

General Practice • Lakeland, FL

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Defigarelli, MD is a registered healthcare professional specializing in General Practice in Lakeland, FL. Practice services are available at 1129 N MISSOURI AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1129 N Missouri Ave

Lakeland, FL 338054411

Telephone 8662348534
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lakeland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.1 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
40 Specialists

Practicing in Lakeland, FL (2490 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-24
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME149910

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
117378300 (FL)

Secondary Practice Locations

47 5th St Nw

Winter Haven, FL 338814672

Phone: 8662348534

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Roseline Blanc , APRN-C

Nurse Practitioner - Family

NPI 1013431873

APRNC

Dr. Ria Sajnani , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013536606

Doctor of Podiatric Medicine

Dr. Syed Qadri , MD

Obstetrics & Gynecology

NPI 1053493171

Doctor of Medicine (M.D.)

NPI 1063443612

Doctor of Medicine (M.D.)

Ingrid Atiles

Psychologist - Clinical

NPI 1093096596
Jennifer Shaw , ARNP, FNP-C, RNC-OB

Nurse Practitioner - Family

NPI 1104322510

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified), RNCOB

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 24, 2023

Registered at 1129 N MISSOURI AVE, LAKELAND, FL 338054411 (Tel: 8662348534)

📍
Updated Business Mailing Address March 24, 2023

Registered at 47 5TH ST NW, WINTER HAVEN, FL 338814672 (Tel: 8662348534)

📍
Updated Practice Location May 06, 2021

Registered at 409 TRINIDAD DR, SATELLITE BEACH, FL 329373444 (Tel: 7754473554)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2021

General Practice (License #ME149910 in FL)

NPI Profile Active July 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2015

Registered at 2390 W CONGRESS ST, LAFAYETTE, LA 705064205 (Tel: 3372616690)

📍
Updated Business Mailing Address July 02, 2015

Registered at 2390 W CONGRESS ST, LAFAYETTE, LA 705064205 (Tel: 3372616690)

👤
Provider Name / Credentials Updated July 02, 2015

Recorded as SAMUEL DEFIGARELLI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 02, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083097406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2015
Last Update: March 24, 2023
Sole Proprietor: Yes

Mailing Address

47 5th St Nw

Winter Haven, FL 338814672

Phone: 8662348534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.