Healthcare Provider Details

I. General information

NPI: 1174489033
Provider Name (Legal Business Name): JOHN SCOTT SINGMASTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 COMMERCE CENTER DR
SAINT CLOUD FL
34769-1549
US

IV. Provider business mailing address

11827 BOLDFACE DR
ORLANDO FL
32832-5223
US

V. Phone/Fax

Practice location:
  • Phone: 407-450-5985
  • Fax:
Mailing address:
  • Phone: 407-970-1601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4298
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: