Healthcare Provider Details

I. General information

NPI: 1265853634
Provider Name (Legal Business Name): BENJAMIN ROBERT SINGER APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2014
Last Update Date: 09/17/2022
Certification Date: 09/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2299 9TH AVE N STE 2C
SAINT PETERSBURG FL
33713-6852
US

IV. Provider business mailing address

3828 48TH AVE S
SAINT PETERSBURG FL
33711-4602
US

V. Phone/Fax

Practice location:
  • Phone: 727-328-2299
  • Fax: 727-327-1404
Mailing address:
  • Phone: 414-702-1983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License NumberAPRN9391022
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAPRN9391022
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9391022
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: