Provider Demographics
NPI:1235450669
Name:CAREN B. SINGER, MD,PA
Entity Type:Organization
Organization Name:CAREN B. SINGER, MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:CORNINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-467-3878
Mailing Address - Street 1:255 SE 14TH ST
Mailing Address - Street 2:SUITE 1-B
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1852
Mailing Address - Country:US
Mailing Address - Phone:954-467-3878
Mailing Address - Fax:954-467-7571
Practice Address - Street 1:255 SE 14TH ST
Practice Address - Street 2:SUITE 1-B
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1852
Practice Address - Country:US
Practice Address - Phone:954-467-3878
Practice Address - Fax:954-467-7571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-21
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38807207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD63187Medicare UPIN
FL94285Medicare PIN