Provider Demographics
NPI:1518071356
Name:OSTER, DINA (MD)
Entity Type:Individual
Prefix:DR
First Name:DINA
Middle Name:
Last Name:OSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35095 US 19 N STE 100
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1968
Mailing Address - Country:US
Mailing Address - Phone:727-953-8404
Mailing Address - Fax:813-635-7866
Practice Address - Street 1:35095 US 19 N STE 100
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1968
Practice Address - Country:US
Practice Address - Phone:727-953-8404
Practice Address - Fax:813-635-7866
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215708207R00000X
FLME99328207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023385300Medicaid
FLAG198WMedicare PIN
FLAG198XMedicare PIN
FL279378400Medicaid