DWIC OF TAMPA BAY INC NPI 1316398118

NPI Information

DWIC OF TAMPA BAY, INC is an urgent care clinic center in Fort Myers, FL. DWIC OF TAMPA BAY, INC NPI is 1316398118. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Fort Myers, S Cleveland Ave.

The provider's business location address is:

12375 S CLEVELAND AVE
FORT MYERS, FL
ZIP 33907-803
Phone: (239) 936-2013
Fax: (239) 275-1041

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

The CLIA number assigned to this NPI record is 10D2121641 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2016 and was last updated on 4/26/2017.

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:

Other Identifiers

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