Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | OS10759 | FL |
NPI | 1003142084 |
---|---|
Provider Name | Thomas Joseph Singer |
First Address | Maitland, FL 32751-7235 |
Second Address | Fort Myers, FL 33907-5503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2009 |
Last Update Date | 26/10/2009 |