Dwic Of Tampa Bay, INC
Clinic/Center, Urgent Care in Clewiston, FL. Organization (NPI-2).
NPI number1982184420
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1982184420
- Entity type
- Organization (NPI-2)
- Legal business name
- Dwic Of Tampa Bay, INC
- Organization subpart
- No
- Enumeration date
- Aug 15, 2018
- Certification date
- May 7, 2024
- Last updated
- May 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – |
Other names
- Medexpress Urgent Care - Clewiston, W Sugarland Hwy (Doing Business As)
Practice location
960 W Sugarland HighwayClewiston, FL 33440-2701
Phone 863-805-0189 · Fax 863-805-0711
Mailing address
423 Fortress BlvdMorgantown, WV 26508-1351
Phone 304-225-2500 · Fax 304-985-6350
Authorized official
Joy Kimball
Contract Manager
7633496740
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