Nicha Monique Cumberbatch, PA-C
Physician Assistant in Tamarac, FL. Individual provider (NPI-1).
NPI number1770907313
StatusActive
Last updated in NPPESJun 23, 2021
Details
- NPI
- 1770907313
- Entity type
- Individual (NPI-1)
- Name
- Nicha Monique Cumberbatch
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2014
- Certification date
- Jun 23, 2021
- Last updated
- Jun 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9108593 | FL | Yes |
Other names
- Nicha Cumberbatch (Former Name)
Practice location
7710 Nw 71st Ct Ste 205Tamarac, FL 33321-2931
Phone 954-747-1221 · Fax 954-747-1231
Mailing address
10157 Ramblewood DrCoral Springs, FL 33071-6509
Phone 954-560-7711
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