Provider Demographics
NPI:1093253957
Name:SAREEN, GURPREET SINGH
Entity Type:Individual
Prefix:
First Name:GURPREET
Middle Name:SINGH
Last Name:SAREEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12977 SOUTHERN BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-9256
Mailing Address - Country:US
Mailing Address - Phone:561-879-4006
Mailing Address - Fax:561-879-4008
Practice Address - Street 1:12977 SOUTHERN BLVD STE 202
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-9256
Practice Address - Country:US
Practice Address - Phone:561-879-4006
Practice Address - Fax:561-879-4008
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-10
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME151209207R00000X
PR19533390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine