MEDICARE: MARIA GRACE SCUNZIANO-SINGH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME70767	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	31544	OTHER	FL	BCBS OF FLORIDA
4	110222498	OTHER	FL	RR MCR ATTACHED TO GROUP CH7269
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285663179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA GRACE SCUNZIANO-SINGH MD

Provider Business Mailing Address
First Line	:	4248 LAKE IN THE WOODS DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34607-2501
Country	:	US
Telephone Number	:	352-254-8090
Fax Number	:	352-616-0944

Provider Business Practice Location Address
First Line	:	4270 LAKE IN THE WOODS DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34607-2501
Country	:	US
Telephone Number	:	352-597-7249
Fax Number	:	352-597-9523

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	11/23/2021

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