Healthcare Provider Details

I. General information

NPI: 1952622409
Provider Name (Legal Business Name): SARNIA CARISSIMA SINGH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 1ST ST N
ST PETERSBURG FL
33701-3305
US

IV. Provider business mailing address

2995 DREW ST FL 2
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 727-895-5210
  • Fax: 727-822-4037
Mailing address:
  • Phone: 727-315-6974
  • Fax: 813-635-2613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME128492
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: