Provider Demographics
NPI:1104280304
Name:PAULEENA SINGH M.D,.P.A
Entity type:Organization
Organization Name:PAULEENA SINGH M.D,.P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULEEENA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-635-4441
Mailing Address - Street 1:4401 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5201
Mailing Address - Country:US
Mailing Address - Phone:954-990-5723
Mailing Address - Fax:954-990-6962
Practice Address - Street 1:4401 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5201
Practice Address - Country:US
Practice Address - Phone:954-990-5723
Practice Address - Fax:954-990-6962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126045261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center