Pamela Coddington Black (NPI# 1912135351, PAC ID# 8820136674) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1912135351 |
| PAC ID by PECOS | 8820136674 |
| Professional Enrollment ID | I20091116000204 |
| Full Name | Pamela Coddington Black |
| Organization Legal Name | HEALTH HAVEN LLC |
| Address |
308 Nw 5th Ave Okeechobee FL 34972-2568 |
| Phone Number | 5166406937 |
| Gender | F |
| Graduation Year | 1983 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7911212634 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 308 Nw 5th Ave, Okeechobee, FL 34972-2568 | 5166406937 | HEALTH HAVEN LLC |
| Organization Legal Name | HEALTH HAVEN LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Asim Nisar | Psychiatry | Health Haven LLC | 308 Nw 5th Ave, Okeechobee, FL 34972-2568 |
| Street Address |
308 NW 5TH AVE |
| City | OKEECHOBEE |
| State | FL |
| Zip | 34972-2568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Asim Nisar | Psychiatry | Health Haven LLC | 308 Nw 5th Ave, Okeechobee, FL 34972-2568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay S Berger | Internal Medicine | Jay S Berger Md Pa | 1713 Hwy 441 N, Okeechobee, FL 34972 |
| Nancy Lynn Saunders | Nurse Practitioner | Jay S Berger Md Pa | 1713 Hwy 441 N, Suite D, Okeechobee, FL 34972 |
| Khamphou Manivanh Mosley | Nurse Practitioner | St Lucie Medical Specialists LLC | 1713 Us Hwy 441 N, Suite C, Okeechobee, FL 34972-1900 |
| Leland M Heller | Family Medicine | 1713 Hwy 441 N, Suite E, Okeechobee, FL 34972-1900 | |
| Carlos Alejo | General Surgery | Palm Beach General Surgery LLC | 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900 |
| Denise Ricketts | Family Medicine | St Lucie Medical Specialists LLC | 1713 Hwy 441 N, Suite C, Okeechobee, FL 34972-1900 |
| Christopher J Mavroides | Internal Medicine | 1713 Us Hwy 441 N, Suite A, Okeechobee, FL 34972-1900 | |
| Codi Craig | Physician Assistant | Palm Beach General Surgery LLC | 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900 |
| James E Bradfield | Obstetrics/gynecology | Raulerson Gyn LLC | 1713 Hwy 441 N, Suite F, Okeechobee, FL 34972-1900 |
| Audreylyn Waldo | Nurse Practitioner | St Lucie Medical Specialists LLC | 1713 Hwy 441 N, Suite C, Okeechobee, FL 34972-1900 |
| Find all physicians in zip 34972 | |||
| City | OKEECHOBEE |
| Zip Code | 34972 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | OKEECHOBEE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Pamela Coddington Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.