Provider Demographics
NPI:1376748871
Name:WASHINGTON MEDICAL CENTER, INC
Entity Type:Organization
Organization Name:WASHINGTON MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOUISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-368-6502
Mailing Address - Street 1:875 MEADOWS RD STE 321
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2349
Mailing Address - Country:US
Mailing Address - Phone:561-368-6502
Mailing Address - Fax:561-451-0033
Practice Address - Street 1:8335 TWIN LAKE DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1921
Practice Address - Country:US
Practice Address - Phone:561-368-6502
Practice Address - Fax:561-451-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP10171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty