DWIC OF TAMPA BAY, INC. (NPI# 1114437589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114437589 |
| Entity Type | Organization |
| Organization Name | DWIC OF TAMPA BAY, INC. |
| Other Organization Name | MEDEXPRESS URGENT CARE - ESTERO, S TAMIAMI TRL |
| Practice Address |
19985 S Tamiami Trail Estero FL 33928-2268 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 2394953317 |
| Practice Fax Number | 2394953329 |
| Mailing Telephone | 3042252500 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-17 |
| Authorized Official Name | BRETT GALL (DIRECTOR PAYOR CONTRACTING) |
| Authorized Official Telephone | 3042252500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Estero, S Tamiami Trl | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275848426 | Dwic of Tampa Bay, Inc. | General Practice | 10500 Ulmerton Road, Suite 202, Largo, FL 33771-3503 | 2010-08-12 |
| 1679522163 | Dwic of Tampa Bay, Inc. | General Practice | 2810 W Martin Luther King Boulevard, Tampa, FL 33607 | 2006-05-10 |
| 1417906611 | Dwic of Tampa Bay, Inc. | General Practice | 408 E Brandon Blvd, Brandon, FL 33511-5318 | 2006-05-08 |
| 1225087430 | Dwic of Tampa Bay, Inc. | General Practice | 22945 State Road 54, Lutz, FL 33549-6932 | 2006-05-08 |
| 1215986344 | Dwic of Tampa Bay, Inc. | General Practice | 13856 N Dale Mabry Highway, Tampa, FL 33618-5005 | 2006-05-08 |
| 1023067220 | Dwic of Tampa Bay, Inc. | General Practice | 13610 N Bruce B Downs Boulevard, Tampa, FL 33613-4650 | 2006-05-08 |
| 1801845011 | Dwic of Tampa Bay, Inc. | General Practice | 801 W. Martin Luther King Boulevard, Seffner, FL 33584-4635 | 2006-05-08 |
| 1902058498 | Dwic of Tampa Bay, Inc. | General Practice | 20677 Bruce B Downs Blvd, Tampa, FL 33647-3553 | 2008-10-16 |
| 1821047952 | Dwic of Tampa Bay, Inc. | General Practice | 26812 Us Highway 19 N, Clearwater, FL 33761-3405 | 2006-05-08 |
| 1780633834 | Dwic of Tampa Bay, Inc. | General Practice | 26812 Us Highway 19 N, Clearwater, FL 33761-3405 | 2006-05-08 |
| Street Address |
19985 S TAMIAMI TRAIL |
| City | ESTERO |
| State | FL |
| Zip Code | 33928-2268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055588 | Jeremiah S Mossman | Nurse Anesthetist, Certified Registered | 21586 Belvedere Ln, Estero, FL 33928 | 2018-06-05 |
| 1376030361 | Trish Daino Lisw LLC | Social Worker | 9180 Estero Park Commons, Ste 2, Suite 2, Estero, FL 33928 | 2018-04-16 |
| 1861994204 | Kin Med, Pa | General Practice | 19910 S Tamiami Trail Ste C, Estero, FL 33928 | 2018-03-01 |
| 1073031225 | Dieu Huyen Thi Le | Pharmacist | 20311 Grande Oak Blvd, Estero, FL 33928 | 2017-09-07 |
| 1295284008 | National Vision, Inc. | Technician/Technologist | 22907 Lyden Dr, Estero, FL 33928 | 2016-09-22 |
| 1275982654 | Eileen Cherbini | Counselor | 13616 Canola Ct, Estero, FL 33928 | 2016-06-07 |
| 1952759342 | Alexander Conrad | Counselor | 8010 Sardinia Way Unit #221, Estero, FL 33928 | 2016-05-26 |
| 1154700466 | Estero Eyecare | Clinic/Center | 21753 Brixham Run Loop, Estero, FL 33928 | 2015-05-20 |
| 1982082335 | Gulfshore Pediatric Dentistry, P.a. | Dentist | 9921 Corkscrew Rd, Estero, FL 33928 | 2015-05-18 |
| 1942697149 | Conor William Byrt | Emergency Medicine | 21731 Sound Way, 102, Estero, FL 33928 | 2015-04-25 |
| Find all providers in zip 33928 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.