Provider Demographics
NPI:1205277134
Name:SINGLETARY, GINGER (ARNP)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:
Last Name:SINGLETARY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:GINGER
Other - Middle Name:
Other - Last Name:RUEHLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP-BC
Mailing Address - Street 1:802 W MARTIN LUTHER KING BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-5105
Mailing Address - Country:US
Mailing Address - Phone:813-754-7999
Mailing Address - Fax:813-754-7111
Practice Address - Street 1:802 W MARTIN LUTHER KING BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-5105
Practice Address - Country:US
Practice Address - Phone:813-754-7999
Practice Address - Fax:813-754-7111
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9280973363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015015800Medicaid
1205277134Medicare PIN