Deena Werde

Individual provider Active NPI Family Medicine Physician · Surfside, FL

NPI 1619610078 · NPPES record last updated Apr 14, 2026

Key facts

NPI
1619610078
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
ME163920 (FL)
Practice address
9526 Harding Ave
Surfside, FL 33154-2502
Phone
(561) 772-7355
Fax
(561) 828-9257
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Opted out of Medicare
Yes, effective Jul 10, 2026 through Jul 10, 2028

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260622002708 FL Order and Referring Only - Family Practice
Practitioner - Family Practice
5496228405

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
ME163920FLMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME163920 FL Yes

Addresses

Primary practice location

9526 Harding Ave
Surfside, FL 33154-2502

Mailing address

9526 Harding Ave
Surfside, FL 33154-2502
Phone (561) 772-7355

Other providers in Surfside, FL

All providers in Surfside, FL · Family Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.