DWIC OF TAMPA BAY, INC (NPI# 1982184420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982184420 |
| Entity Type | Organization |
| Organization Name | DWIC OF TAMPA BAY, INC |
| Other Organization Name | MEDEXPRESS URGENT CARE - CLEWISTON, W SUGARLAND HWY |
| Practice Address |
960 W Sugarland Highway Clewiston FL 33440-2701 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 8638050189 |
| Practice Fax Number | 8638050711 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| 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 - Clewiston, W Sugarland Hwy | 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 |
| 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 |
| 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 |
960 W SUGARLAND HIGHWAY |
| City | CLEWISTON |
| State | FL |
| Zip Code | 33440-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376072132 | Seminole Pharmacy | Pharmacy | 31055 Josie Billie Highway, Clewiston, FL 33440 | 2017-06-06 |
| 1740551530 | Seminole Tribe of Florida | Clinic/Center | 30851 Buffalo Jim Loop Road, Clewiston, FL 33440 | 2012-01-25 |
| 1184850901 | Elizabeth Boykin | Nurse Practitioner | 31055 Josie Billie Hwy, Clewiston, FL 33440 | 2009-06-08 |
| 1861683237 | Antoinette Marie Pavey-mcdaniel | Nurse Practitioner | 203 S Gloria St, Hendry Regional Corp Health, Clewiston, FL 33440 | 2007-08-09 |
| 1225229909 | Kurt Gabriel Hausy | Dentist | 316 E. Trinidad Ave., Clewiston, FL 33440 | 2007-08-07 |
| 1265565527 | Joanne Louise Vorhees | Nurse Practitioner | 1100 South Olympia St, Hendry County Health Department, Clewiston, FL 33440 | 2007-03-14 |
| 1831222850 | Richard J Anton | Optometrist | 1005 W. Sugarland Hwy, Walmart Nat Vision Cen, Clewiston, FL 33440 | 2007-03-13 |
| 1932278017 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 28280 E Tu Makee Way, Clewiston, FL 33440 | 2006-11-06 |
| 1720342173 | Vandhana Bhagwan Kiswani-barley | Family Medicine | 31055 Josie Billie Hwy, Clewiston, FL 33440 | 2012-06-29 |
| 1275782492 | Juan and John Drugs | Pharmacy | 340 E Sugarland Hwy, Suite B, Clewiston, FL 33440 | 2008-09-11 |
| Find all providers in zip 33440 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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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 |
| 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.