Healthcare Provider Details

I. General information

NPI: 1134069933
Provider Name (Legal Business Name): WINSTON TYLER SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: TYLER SINGH

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S ANDREWS AVE
FORT LAUDERDALE FL
33316-2510
US

IV. Provider business mailing address

2109 NE 62ND CT
FORT LAUDERDALE FL
33308-1361
US

V. Phone/Fax

Practice location:
  • Phone: 954-876-2790
  • Fax:
Mailing address:
  • Phone: 954-253-2110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: