DWIC OF TAMPA BAY INC. NPI 1215986344

NPI Information

NPI: 1215986344
Provider Name: DWIC OF TAMPA BAY, INC.

Doing Business As: MEDEXPRESS URGENT CARE - CARROLLWOOD

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
13856 N DALE MABRY HIGHWAY
TAMPA, FL
ZIP 33618
Phone: (813) 264-1885
Get Directions

DWIC OF TAMPA BAY, INC. is an urgent care clinic center in Tampa, FL. DWIC OF TAMPA BAY, INC. NPI is 1215986344. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Carrollwood.

The provider's business location address is:

13856 N DALE MABRY HIGHWAY
TAMPA, FL
ZIP 33618-005
Phone: (813) 264-1885
Fax: (813) 968-6438

The provider's authorized official is Tim G. Bugin .
The authorized official title is Vp Payor Contracting and has the following contact phone number (304) 225-2500.

The CLIA number assigned to this NPI record is 10D0291181 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 1/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				No
2	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	018112800	MEDICAID	FLORIDA
2	K1515	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »