DWIC OF TAMPA BAY INC. NPI 1114437589

NPI Information

NPI: 1114437589
Provider Name: DWIC OF TAMPA BAY, INC.

Doing Business As: MEDEXPRESS URGENT CARE - ESTERO, S TAMIAMI TRL

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
19985 S TAMIAMI TRAIL
ESTERO, FL
ZIP 33928
Phone: (239) 495-3317
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DWIC OF TAMPA BAY, INC. is an urgent care clinic center in Estero, FL. DWIC OF TAMPA BAY, INC. NPI is 1114437589. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Estero, S Tamiami Trl.

The provider's business location address is:

19985 S TAMIAMI TRAIL
ESTERO, FL
ZIP 33928-268
Phone: (239) 495-3317
Fax: (239) 495-3329

The provider's authorized official is Brett Gall .
The authorized official title is Director Payor Contracting and has the following contact phone number (304) 225-2500.

The CLIA number assigned to this NPI record is 10D2140677 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2017 and was last updated on 10/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine				No
2	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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