DWIC OF TAMPA BAY, INC (NPI# 1124568902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124568902 |
Entity Type | Organization |
Organization Name | DWIC OF TAMPA BAY, INC |
Other Organization Name | MEDEXPRESS URGENT CARE - DELAND, N WOODLAND BLVD |
Practice Address |
1328 N Woodland Blvd Deland FL 32720-2203 |
Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
Practice Telephone | 3867380574 |
Practice Fax Number | 3867380573 |
Mailing Telephone | 3042252500 |
Mailing Fax Number | 7247431133 |
Enumeration Date | 2017-02-28 |
Last Update Date | 2017-02-28 |
Authorized Official Name | MR. BRETT GALL (DIRECTOR PAYOR CONTRACTING) |
Authorized Official Telephone | 3042252500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
MedExpress Urgent Care - DeLand, N Woodland Blvd | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902376973 | Dwic of Tampa Bay, Inc | Emergency Medicine | 3700 Us Highway 98 N Unit 101, Lakeland, FL 33809-3863 | 2018-12-03 |
1982184420 | Dwic of Tampa Bay, Inc | Emergency Medicine | 960 W Sugarland Highway, Clewiston, FL 33440-2701 | 2018-08-15 |
1841798543 | Dwic of Tampa Bay, Inc | Family Medicine | 2202 N West Shore Blvd Ste 500, Tampa, FL 33607-5754 | 2018-01-28 |
1811405277 | Dwic of Tampa Bay, Inc | Emergency Medicine | 1150 Us Highway 1, Vero Beach, FL 32960-9992 | 2018-01-18 |
1922525229 | Dwic of Tampa Bay, Inc | Emergency Medicine | 11985 Atlantic Boulevard, Jacksonville, FL 32225-2919 | 2017-08-28 |
1326583485 | Dwic of Tampa Bay, Inc | General Practice | 13005 Collier Boulevard, Naples, FL 34116-4003 | 2016-12-28 |
1679022057 | Dwic of Tampa Bay, Inc | General Practice | 2200 Tamiami Trl, Port Charlotte, FL 33948-2177 | 2016-09-27 |
1871941815 | Dwic of Tampa Bay, Inc | General Practice | 5616 Tuscola Blvd, North Port, FL 34287-2738 | 2016-06-01 |
1427416908 | Dwic of Tampa Bay, Inc | General Practice | 313 Sw Pine Island Road, Cape Coral, FL 33991-2043 | 2016-01-29 |
1598132490 | Dwic of Tampa Bay, Inc | General Practice | 8849 State Road 52, Hudson, FL 34667-6742 | 2015-08-26 |
Street Address |
1328 N WOODLAND BLVD |
City | DELAND |
State | FL |
Zip Code | 32720-2203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
1699304840 | Grace Haven LLC | In Home Supportive Care | 805 S Stone St, Deland, FL 32720 | 2020-04-08 |
1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
1902448715 | Volusia Medical Center LLC | Family Medicine | 850 N. Stone Street, Deland, FL 32720 | 2019-10-14 |
1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
1164961041 | Melissa Sorensen | Counselor | 970 N Spring Ave, 523, Deland, FL 32720 | 2017-02-13 |
1669910329 | Stefanie Briann Yockey | Counselor | 804 N. Woodland Blvd., Deland, FL 32720 | 2017-02-02 |
1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
1164843710 | Malgorzata Anna Szelwach | Occupational Therapist | 1590 State Rt 15a Suite B, Deland, FL 32720 | 2013-12-29 |
1730510926 | Adriana Marquez | Community/Behavioral Health | 33218 Tomahawk Trail, Deland, FL 32720 | 2013-12-12 |
Find all providers in zip 32720 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558714303 | Adventist Health System/ Sunbelt, Inc. | Clinic/Center | 2293 S Woodland Blvd, Deland, FL 32720-8633 | 2016-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710588744 | Adventist Health System/ Sunbelt, Inc. | Clinic/Center | 3708 Sw College Rd, Ocala, FL 34474-4441 | 2020-11-05 |
1689273187 | American Urgent Care and Walk In Clinics LLC | Clinic/Center | 601 Gray Ave, Wildwood, FL 34785-3520 | 2020-10-26 |
1619575529 | Medec Urgent Care Pllc | Clinic/Center | 600 Garden St, Titusville, FL 32796-3489 | 2020-10-13 |
1144835182 | Adventist Health System/sunbelt, Inc | Clinic/Center | 11826 State Road 54, Odessa, FL 33556-3496 | 2020-09-15 |
1528671096 | Crucialist LLC | Clinic/Center | 4230 Pablo Professional Ct Ste 103, Jacksonville, FL 32224-3223 | 2020-08-25 |
1194334961 | Md Now Medical Centers Inc | Clinic/Center | 4332 Cortez Rd W, Bradenton, FL 34210-3139 | 2020-07-28 |
1558970327 | Md Now Medical Centers Inc | Clinic/Center | 15165 Mcgregor Blvd, Fort Myers, FL 33908-1957 | 2020-07-28 |
1386253151 | Md Now Medical Centers Inc | Clinic/Center | 12748 S Cleveland Ave, Fort Myers, FL 33907-3823 | 2020-07-28 |
1821607698 | Md Now Medical Centers Inc | Clinic/Center | 2609 Santa Barbara Blvd, Cape Coral, FL 33914-4457 | 2020-07-28 |
1366051435 | Md Now Medical Centers Inc | Clinic/Center | 9690 Glades Rd Unit 425, Boca Raton, FL 33434-3978 | 2020-07-24 |
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.