Provider Demographics
NPI:1275512386
Name:SINGAL, SHELDON (MD)
Entity Type:Individual
Prefix:
First Name:SHELDON
Middle Name:
Last Name:SINGAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 HARTLEY RD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-8231
Mailing Address - Country:US
Mailing Address - Phone:904-292-2020
Mailing Address - Fax:904-292-2044
Practice Address - Street 1:3020 HARTLEY RD
Practice Address - Street 2:SUITE 190
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-8231
Practice Address - Country:US
Practice Address - Phone:904-292-2020
Practice Address - Fax:904-292-2044
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME37283207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL15640OtherBCBS
FL180016631OtherRAILROAD MEDICARE
FL180016631OtherRAILROAD MEDICARE
FL15640ZMedicare ID - Type Unspecified