Healthcare Provider Details

I. General information

NPI: 1104218502
Provider Name (Legal Business Name): MELISSA S SINGER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2015
Last Update Date: 02/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12957 PALMS WEST DR SUITE 103
LOXAHATCHEE FL
33470-4932
US

IV. Provider business mailing address

12957 PALMS WEST DR SUITE 103
LOXAHATCHEE FL
33470-4932
US

V. Phone/Fax

Practice location:
  • Phone: 561-798-9119
  • Fax: 561-798-9193
Mailing address:
  • Phone: 561-798-9119
  • Fax: 561-798-9193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MELISSA STACY SINGER
Title or Position: OWNER
Credential: MD, MPH
Phone: 561-798-9119