Provider Demographics
NPI:1194956631
Name:SINGERMAN, LINDA BENTLEY (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:BENTLEY
Last Name:SINGERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:FAYE
Other - Last Name:BENTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3520 WEST WATERS AVENUE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-2716
Mailing Address - Country:US
Mailing Address - Phone:813-932-0079
Mailing Address - Fax:813-932-8763
Practice Address - Street 1:3520 WEST WATERS AVENUE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2716
Practice Address - Country:US
Practice Address - Phone:813-932-0079
Practice Address - Fax:813-932-8763
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14526207R00000X
CO43237207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL91878Medicaid
E38292Medicare UPIN
AL91878Medicare PIN
VTS1VN1731Medicare PIN