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DWIC OF TAMPA BAY INC NPI 1841798543


NPI Information

NPI: 1841798543
Provider Name: DWIC OF TAMPA BAY, INC

Doing Business As: MEDEXPRESS - BLOOMIN BRANDS TAMPA

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2202 N WEST SHORE BLVD STE 500
TAMPA, FL
ZIP 33607
Phone: (813) 282-1225
Get Directions

DWIC OF TAMPA BAY, INC is a general practice in Tampa, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DWIC OF TAMPA BAY, INC NPI is 1841798543. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Medexpress - Bloomin Brands Tampa.

The provider's business location address is:

2202 N WEST SHORE BLVD STE 500
TAMPA, FL
ZIP 33607-754
Phone: (813) 282-1225

The provider's authorized official is Brett Gall .
The authorized official title is Director Payor Contracting and has the following contact phone number (304) 225-2500.

The enumeration date for this NPI number is 1/28/2018 and was last updated on 1/28/2018.


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
1207Q00000XFamily MedicineNo
2208D00000XGeneral PracticeYes

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

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