DWIC OF TAMPA BAY, INC. (NPI# 1417906611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417906611 |
| Entity Type | Organization |
| Organization Name | DWIC OF TAMPA BAY, INC. |
| Other Organization Name | MEDEXPRESS URGENT CARE - BRANDON |
| Practice Address |
408 E Brandon Blvd Brandon FL 33511-5318 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 8136815571 |
| Practice Fax Number | 8136898128 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-07-11 |
| 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 | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018354900 | 05 |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Brandon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114437589 | Dwic of Tampa Bay, Inc. | Emergency Medicine | 19985 S Tamiami Trail, Estero, FL 33928-2268 | 2017-10-11 |
| 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 |
| 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 |
408 E BRANDON BLVD |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871847327 | Ana Paola Santos-levy | Physician Assistant | 408 E Brandon Blvd, Brandon, FL 33511-5318 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285290130 | Synergic Healthcare Solutions LLC | Clinic/Center | 799 W Lumsden Rd, Brandon, FL 33511-6261 | 2019-05-16 |
| 1881171775 | American Current Care P.a . | Clinic/Center | 934 Oakfield Dr, Brandon, FL 33511-4950 | 2018-07-24 |
| 1790060366 | Premium Health Services of Tampa | Clinic/Center | 107 W Robertson St, Brandon, FL 33511-5111 | 2011-10-14 |
| 1851558191 | Parsons Walk-in Clinic Inc | Clinic/Center | 908 S Parsons Ave, Suite B, Brandon, FL 33511-6064 | 2008-05-22 |
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|---|---|---|---|---|
| 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 |
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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.