DWIC OF TAMPA BAY INC NPI 1427416908

NPI Information

DWIC OF TAMPA BAY, INC is an urgent care clinic center in Cape Coral, FL. DWIC OF TAMPA BAY, INC NPI is 1427416908. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Cape Coral, Sw Pine Island Rd.

The provider's business location address is:

313 SW PINE ISLAND ROAD
CAPE CORAL, FL
ZIP 33991-043
Phone: (239) 458-6755
Fax: (239) 772-0421

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 10D2110281 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2016 and was last updated on 1/4/2017.

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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