NPI:
1982184420
Provider Name:
DWIC OF TAMPA BAY, INC
Doing Business As: MEDEXPRESS URGENT CARE - CLEWISTON, W SUGARLAND HWY
Classification:
Clinic/Center - 261QU0200X
Entity Type:
Organization
Specialization: Urgent Care
CLIA Number: 10D2157195
Address:
960 W SUGARLAND HIGHWAY
CLEWISTON, FL
ZIP 33440
Phone:
(863) 805-0189
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DWIC OF TAMPA BAY, INC is an urgent care clinic center in Clewiston, FL. DWIC OF TAMPA BAY, INC NPI is 1982184420. 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 - Clewiston, W Sugarland Hwy.
The provider's business location address is:
960 W SUGARLAND HIGHWAY
CLEWISTON, FL
ZIP 33440-701
Phone: (863) 805-0189
Fax: (863) 805-0711
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 10D2157195 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/15/2018 and was last updated on 8/15/2018.