Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | ME0077844 | FL |
NPI | 1164454781 |
---|---|
Provider Name | Jeremy Singer |
First Address | Jensen Beach, FL 34957-4441 |
Second Address | Jensen Beach, FL 34957-4441 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 10/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
270000000 | (05) | FL |
G96914 | (02) | FL |