Healthcare Provider Details
I. General information
NPI: 1477724169
Provider Name (Legal Business Name): MERCY FAMILY & URGENT CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2008
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3511 NW 8TH AVE SUITE 1-2
POMPANO BEACH FL
33064-3055
US
IV. Provider business mailing address
3511 NW 8TH AVE SUITE 1-2
POMPANO BEACH FL
33064-3055
US
V. Phone/Fax
- Phone: 954-783-0621
- Fax: 954-783-0622
- Phone: 954-783-0621
- Fax: 954-783-0622
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NIERMALA
WASHINGTON
Title or Position: TREASURER
Credential: M.D.
Phone: 954-783-0621