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NPI Code Detail

MEDICARE: DR. C RENEE WASHINGTON-HYDE M.D.

MEDICARE: DR. C RENEE WASHINGTON-HYDE M.D.
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
12084P0804XChild & Adolescent Psychiatry Physician38103NH
22084P0800XPsychiatry Physician237632NY
32084P0804XChild & Adolescent Psychiatry PhysicianMD-25662HI
42084P0800XPsychiatry PhysicianME102790FL

Other Identifiers

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

General Provider Information

NPI Number : 1568533438
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. C RENEE WASHINGTON-HYDE M.D.
Provider Business Mailing Address
First Line : PO BOX 499
Second Line :
City : ESTERO
State : FL
Zip : 33929-0499
Country : US
Telephone Number : 516-343-2419
Fax Number :
Provider Business Practice Location Address
First Line : 725 N 12TH AVE BLDG B
Second Line :
City : ARCADIA
State : FL
Zip : 34266-8752
Country : US
Telephone Number : 863-494-1242
Fax Number : 863-993-0108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 02/10/2026

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