Provider Demographics
NPI:1528020831
Name:SINGER, CAREN BEBCHUCK (MD)
Entity Type:Individual
Prefix:DR
First Name:CAREN
Middle Name:BEBCHUCK
Last Name:SINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:255 SE 14TH ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1827
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 1B
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1827
Practice Address - Country:US
Practice Address - Phone:954-467-3878
Practice Address - Fax:954-467-7571
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38807207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068721900Medicaid
D63187Medicare UPIN
FL068721900Medicaid