| Niermala Washington,m.d. | |
|
3511 Nw 8th Ave Suite 1-2 Pompano Beach FL 33064-3055 | |
| (954) 783-0621 | |
| (954) 783-0622 |
| Full Name | Niermala Washington,m.d. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3511 Nw 8th Ave, Pompano Beach, Florida |
| Authorized Official Name and Position | Niermala Washington (TREASURER) |
| Authorized Official Contact | 9547830621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Niermala Washington,m.d. 3511 Nw 8th Ave Suite 1-2 Pompano Beach FL 33064-3055 Ph: (954) 783-0621 | Niermala Washington,m.d. 3511 Nw 8th Ave Suite 1-2 Pompano Beach FL 33064-3055 Ph: (954) 783-0621 |
| NPI Number | 1477724169 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 05/14/2015 |
| Medicare PECOS PAC ID | 5890722169 |
|---|---|
| Medicare Enrollment ID | O20050719000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477724169 | NPI | - | NPPES |
| 271039100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Niermala Washington |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780611764 PECOS PAC ID: 9830155696 Enrollment ID: I20041203000694 |
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