NPI: 1598132490
Provider Name: DWIC OF TAMPA BAY, INC
Doing Business As: MEDEXPRESS URGENT CARE - HUDSON, STATE ROAD 52
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization
Specialization: Urgent Care
CLIA Number: 10D2107109
Address:
8849 STATE ROAD 52
HUDSON, FL
ZIP 34667
Phone: (727) 863-7150
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DWIC OF TAMPA BAY, INC is an urgent care clinic center in Hudson, FL. DWIC OF TAMPA BAY, INC NPI is 1598132490. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Hudson, State Road 52.
The provider's business location address is:
8849 STATE ROAD 52
HUDSON, FL
ZIP 34667-742
Phone: (727) 863-7150
Fax: (727) 863-7248
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 10D2107109 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/26/2015 and was last updated on 1/4/2017.