MEDICARE: MERCY FAMILY & URGENT CARE, INC

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
1	261QU0200X	Urgent Care Clinic/Center
2	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477724169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY FAMILY & URGENT CARE, INC

Provider Business Mailing Address
First Line	:	3511 NW 8TH AVE
Second Line	:	SUITE 1-2
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-3055
Country	:	US
Telephone Number	:	954-783-0621
Fax Number	:	954-783-0622

Provider Business Practice Location Address
First Line	:	3511 NW 8TH AVE
Second Line	:	SUITE 1-2
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-3055
Country	:	US
Telephone Number	:	954-783-0621
Fax Number	:	954-783-0622

Authorized Official
Title or Position	:	TREASURER
Name	:	DR. NIERMALA WASHINGTON
Credential	:	M.D.
Telephone Number	:	954-783-0621

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	02/07/2025

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Directions to “MERCY FAMILY & URGENT CARE, INC ” Practice Location

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