Provider Demographics
NPI:1588830426
Name:SINGH, BHANMATIE (DO)
Entity Type:Individual
Prefix:DR
First Name:BHANMATIE
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 10TH AVE N
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-2071
Mailing Address - Country:US
Mailing Address - Phone:561-967-3186
Mailing Address - Fax:561-967-3187
Practice Address - Street 1:5350 10TH AVE N
Practice Address - Street 2:SUITE 1
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-2071
Practice Address - Country:US
Practice Address - Phone:561-967-3186
Practice Address - Fax:561-967-3187
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 10365207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine