Provider Demographics
| NPI: | 1104218502 |
|---|---|
| Name: | MELISSA S SINGER MD PA |
| Entity type: | Organization |
| Organization Name: | MELISSA S SINGER MD PA |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | MELISSA |
| Authorized Official - Middle Name: | STACY |
| Authorized Official - Last Name: | SINGER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD, MPH |
| Authorized Official - Phone: | 561-798-9119 |
| Mailing Address - Street 1: | 12957 PALMS WEST DR |
| Mailing Address - Street 2: | SUITE 103 |
| Mailing Address - City: | LOXAHATCHEE |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33470-4932 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 561-798-9119 |
| Mailing Address - Fax: | 561-798-9193 |
| Practice Address - Street 1: | 12957 PALMS WEST DR |
| Practice Address - Street 2: | SUITE 103 |
| Practice Address - City: | LOXAHATCHEE |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33470-4932 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 561-798-9119 |
| Practice Address - Fax: | 561-798-9193 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2015-02-23 |
| Last Update Date: | 2015-02-23 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2080P0207X | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology | Group - Single Specialty |