DWIC OF TAMPA BAY, INC


Address: 5616 Tuscola Blvd, North Port, FL 34287-2738
Phone: 9412406273

DWIC OF TAMPA BAY, INC (NPI# 1871941815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871941815
Entity Type Organization
Organization Name DWIC OF TAMPA BAY, INC
Other Organization Name MEDEXPRESS URGENT CARE - NORTH PORT, TUSCOLA BLVD
Practice Address 5616 Tuscola Blvd
North Port
FL 34287-2738
Mailing Address 1001 Consol Energy Dr
Canonsburg
PA 15317-6506
Practice Telephone 9412406273
Practice Fax Number 9412406428
Mailing Telephone 3042252500
Mailing Fax Number 7247431133
Enumeration Date 2016-06-01
Last Update Date 2017-01-04
Authorized Official Name TIM BUGIN (VP PAYOR CONTRACTING)
Authorized Official Telephone 3042252500
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
FL 018546900 05

Other Provider/Organization Names

Other Name Type Code
MedExpress Urgent Care - North Port, Tuscola Blvd Doing Business As Name - Organization

Other Provider IDs and Locations

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
1679022057 Dwic of Tampa Bay, Inc General Practice 2200 Tamiami Trl, Port Charlotte, FL 33948-2177 2016-09-27
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

Office Location

Street Address 5616 TUSCOLA BLVD
City NORTH PORT
State FL
Zip Code 34287-2738

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134619323 Fresenius Medical Care North Port, LLC Clinic/Center 12480 Tamiami Trl S, North Port, FL 34287 2018-05-14
1982106464 Sweetwater Oaks Assisted Living Assisted Living Facility 2820 Pan American Blvd, North Port, FL 34287 2018-03-01
1114446218 Shore Dental, LLC Dentist 4901 White Ibis Drive, North Port, FL 34287 2017-09-11
1245645191 Timmy Truong Podiatrist 12757 S. Tamiami Trail, North Port, FL 34287 2014-06-29
1063833671 Vitaly Rehab Incorporated Clinic/Center 12450 Timiami Trail, Suite-e, North Port, FL 34287 2013-12-27
1053744557 Tiesha Quality Care, LLC. In Home Supportive Care 8767 Culebra Ave, North Port, FL 34287 2013-08-20
1811235427 America's Best Contacts & Eyeglasses Technician/Technologist 18467 South Tamiami Trail, North Port, FL 34287 2013-01-17
1043557929 Joseph E Lacombe Pharmacist 1291 S. Sumter Blvd, North Port, FL 34287 2013-01-11
1568621837 Daniel M Barr Dc Chiropractor 4361 Aidan Ln, North Port, FL 34287 2008-06-03
1174712541 Michael Dwayne Hibbs Nurse Practitioner 18659 Tamiami Trail, Suite A, North Port, FL 34287 2007-10-22
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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
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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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Competitor

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City NORTH PORT
Zip Code 34287

Improve Information

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Dataset Information

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.

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