Provider Demographics
NPI:1366405540
Name:VINOSKI, BERNARD BENIDICT JR (MD)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:BENIDICT
Last Name:VINOSKI
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 PINELLAS POINT DR S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-6255
Mailing Address - Country:US
Mailing Address - Phone:321-626-4064
Mailing Address - Fax:
Practice Address - Street 1:91550 OVERSEAS HWY STE 215
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2513
Practice Address - Country:US
Practice Address - Phone:305-434-3205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH16027207RG0100X
MS31923207RG0100X
SC15276207RG0100X
FLME102914207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP1219Medicaid
NH32001553Medicaid
SCGP1219Medicaid
SC6754Medicare PIN
NH32001553Medicaid