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NPI Code Detail

MEDICARE: JERRY HERBERT SINGER M.D.

MEDICARE:   JERRY HERBERT SINGER  M.D.
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
1208800000XUrology PhysicianME42500FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2340003033OTHERFLRR MEDICARE
9P01616292OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P971657OTHERFLOPTIMUM
30521542OTHERFLCIGNA
4P00340OTHERFLFREEDOM
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6204298OTHERFLAVMED
74091491OTHERFLAETNA
861443OTHERFLBC/BS FLORIDA
103364OTHERFLDIMENSION HEALTH
1161443OTHERFLBCBS
12MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376545665
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRY HERBERT SINGER M.D.
Provider Business Mailing Address
First Line : 2234 COLONIAL BLVD
Second Line : ATTN: PAYER CONTRACTING & RELATIONS DEPT.
City : FORT MYERS
State : FL
Zip : 33907-1412
Country : US
Telephone Number : 239-931-7342
Fax Number : 239-931-7385
Provider Business Practice Location Address
First Line : 10115 FOREST HILL BLVD
Second Line : SUITE 100
City : WELLINGTON
State : FL
Zip : 33414-3105
Country : US
Telephone Number : 561-333-1118
Fax Number : 561-333-2228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 10/05/2018

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Directions to “ JERRY HERBERT SINGER M.D.” Practice Location

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