DWIC OF TAMPA BAY, INC (NPI# 1679022057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679022057 |
| Entity Type | Organization |
| Organization Name | DWIC OF TAMPA BAY, INC |
| Other Organization Name | MEDEXPRESS URGENT CARE - PORT CHARLOTTE, TAMIAMI TRAIL |
| Practice Address |
2200 Tamiami Trl Port Charlotte FL 33948-2177 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 9416130022 |
| Practice Fax Number | 9416130070 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | TIM BUGIN (VP 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 | 020259400 | 05 |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Port Charlotte, Tamiami Trail | 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 |
| 1124568902 | Dwic of Tampa Bay, Inc | General Practice | 1328 N Woodland Blvd, Deland, FL 32720-2203 | 2017-02-28 |
| 1326583485 | Dwic of Tampa Bay, Inc | General Practice | 13005 Collier Boulevard, Naples, FL 34116-4003 | 2016-12-28 |
| 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 |
2200 TAMIAMI TRL |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 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 | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
Please comment or provide details below to improve the information on DWIC OF TAMPA BAY, INC.
| 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.