Individual provider Active NPI

Michael Vincent Angelino, D.O.

  • Family Medicine Physician
  • Saint Petersburg, FL
National Provider Identifier
1992267868
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS18386 Issued in FL
Practice address
7655 38TH Ave N Ste 101
Saint Petersburg, FL 33710-1263
Phone
(727) 345-1332
Fax
(727) 345-3200
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS18386 FL Primary

Addresses

Primary practice location

7655 38TH Ave N Ste 101
Saint Petersburg, FL 33710-1263

Mailing address

7655 38TH Ave N Ste 101
Saint Petersburg, FL 33710-1263
Phone (727) 345-1332

Other identifiers 1

IdentifierTypeStateIssuer
114415600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609002328 FL Practitioner - Family Practice 4284012832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

7655 38TH Ave N
101 Optum Tyrone
Saint Petersburg, FL 33710-1263
Phone (727) 345-1332

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Optumcare Florida LLC Family Medicine CurrentSince Aug 4, 2025 Accepting new patients
Lee Memorial Health System CurrentSince Jul 11, 2022 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Jul 11, 2022 Accepting new patients
Lee Memorial Health System Family Medicine Current Accepting new patients
Optumcare Florida, LLC CurrentSince Aug 4, 2025 Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

42880 Crescent Loop
Ste 110
Punta Gorda, FL 33982
Phone (239) 343-3535

7655 38th Ave N
St Petersburg, FL 33710
Phone (727) 345-1332

7655 38th Ave N
Ste 101
St Petersburg, FL 33710
Phone (727) 345-1332

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1992267868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 38TH AVE N STE 101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101263",
            "telephone_number": "727-345-1332",
            "fax_number": "727-345-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 38TH AVE N STE 101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101263",
            "telephone_number": "727-345-1332",
            "fax_number": "727-345-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELINO",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS18386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114415600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.