Healthcare Provider Details

I. General information

NPI: 1356322549
Provider Name (Legal Business Name): STEVEN LEIGH SINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N 35TH AVE STE 395
HOLLYWOOD FL
33021-5412
US

IV. Provider business mailing address

1150 N 35TH AVE STE 395
HOLLYWOOD FL
33021-5412
US

V. Phone/Fax

Practice location:
  • Phone: 954-987-5430
  • Fax: 954-987-1050
Mailing address:
  • Phone: 954-987-5430
  • Fax: 954-987-1050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberME0067620
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: