Provider Demographics
NPI:1568533438
Name:WASHINGTON-HYDE, C. RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:C.
Middle Name:RENEE
Last Name:WASHINGTON-HYDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 TAMIAMI TRL N # 203
Mailing Address - Street 2:#203
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3712
Mailing Address - Country:US
Mailing Address - Phone:516-343-2419
Mailing Address - Fax:
Practice Address - Street 1:5150 TAMIAMI TRL N STE 203
Practice Address - Street 2:#203
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-2818
Practice Address - Country:US
Practice Address - Phone:516-343-2419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2376322084P0800X
FLME1027902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1568533438Medicaid
FL001467900Medicaid
FL001467900Medicaid
VAVVJ339AMedicare PIN