DWIC OF TAMPA BAY, INC (NPI# 1063881092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063881092 |
| Entity Type | Organization |
| Organization Name | DWIC OF TAMPA BAY, INC |
| Other Organization Name | MEDEXPRESS URGENT CARE - LEHIGH ACRES, HOMESTEAD RD N |
| Practice Address |
1120 Homestead Rd N Lehigh Acres FL 33936-6044 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 2393035020 |
| Practice Fax Number | 2393035053 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | TIM BUGIN (VP PAYOR CONTRACTING) |
| Authorized Official Telephone | 3042252500 |
| Is Organization Subpart | N |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018097600 | 05 |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Lehigh Acres, Homestead Rd N | 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 |
| 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 |
| 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 |
| Street Address |
1120 HOMESTEAD RD N |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33936-6044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033273925 | Cross Roads Resolutions, Inc | Social Worker | 1120 Homestead Rd N, Lehigh Acres, FL 33936-6044 | 2006-12-22 |
| 1285268334 | Calli Elizabeth Bacon | Nurse Practitioner | 1120 Homestead Rd N, Lehigh Acres, FL 33936-6044 | 2020-02-27 |
| 1083042618 | Bhisnauth Churaman | Registered Nurse | 1120 Homestead Rd N, Lehigh Acres, FL 33936-6044 | 2013-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241939 | Happy Learning, LLC | Clinic/Center | 1400 Kimdale St E Ste 2, Lehigh Acres, FL 33936 | 2018-07-09 |
| 1184112906 | Fenix Behavior Therapy Co. | Behavioral Analyst | 15 Roosevelt Ave, Lehigh Acres, FL 33936 | 2018-04-26 |
| 1548781586 | Cossette Maiquez | Nurse Practitioner | 448 Morgan Circle South, Lehigh Acres, FL 33936 | 2017-06-29 |
| 1124567714 | Sweet Home Adult Day Care, LLC. | Clinic/Center | 201 Plaza Drive Suite #102, Lehigh Acres, FL 33936 | 2017-02-16 |
| 1306106612 | Darry Dean Griebel | Veterinarian | 21 S. Homestead Rd, Lehigh Acres, FL 33936 | 2012-05-21 |
| 1538469838 | V-20 Medical Services Inc | General Practice | 1420-1422 Lee Blvd, Lehigh Acres, FL 33936 | 2010-11-02 |
| 1093808552 | Abdel R Aryan | Pharmacist | 57 Homestead Rd No., Lehigh Acres, FL 33936 | 2006-10-02 |
| 1265534663 | Steve G Hunter | Pharmacist | 415 Homestead Rd, Lehigh Acres, FL 33936 | 2006-09-05 |
| 1699702035 | Florence Faye Doman | Internal Medicine | Lehigh Regional Medical Center, 1500 Lee Blvd., Lehigh Acres, FL 33936 | 2006-06-28 |
| 1396732970 | Joseph Francis Avey | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2005-09-29 |
| Find all providers in zip 33936 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 1689273187 | American Urgent Care and Walk In Clinics LLC | Clinic/Center | 601 Gray Ave, Wildwood, FL 34785-3520 | 2020-10-26 |
| 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 | ||||
| City | LEHIGH ACRES |
| Zip Code | 33936 |
Please comment or provide details below to improve the information on DWIC OF TAMPA BAY, INC.
| 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.