Express Care Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME069032 Issued in FL

Legal business name

EXPRESS CARE MEDICAL CLINIC

Practice address

3161 Harbor Blvd
Suite a
Port Charlotte, FL 33952-6754

Phone

(941) 629-1218

Fax

(941) 625-9465

NPI assigned

Feb 21, 2008

Organization subpart

Yes

Parent organization

MICHAEL D MOZZETTI MD PLAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael D. Mozzetti Sr., M.D., F.A.C.E.P.

Title

Owner

Phone

(941) 629-1218

Specialties & licenses 1

Addresses

Part of

Michael D Mozzetti MD PL

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Michael D Mozzetti MD PL

  • Family Medicine Physician
  • Port Charlotte, FL
  • NPI 1003073214
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1295904571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 HARBOR BLVD",
            "address_2": "SUITE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526754",
            "telephone_number": "941-629-1218",
            "fax_number": "941-625-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 HARBOR BLVD",
            "address_2": "SUITE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526754",
            "telephone_number": "941-629-1218",
            "fax_number": "941-625-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS CARE MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL D MOZZETTI MD PL",
        "enumeration_date": "2008-02-21",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "MOZZETTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-629-1218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D., F.A.C.E.P."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME069032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Marie Evans, HHA
• Natalie Evans
• Susan Evans, OTR/L
• Richard Evers, APRN, NP-C
• Eric Brian Ewald, CRNA
• Eye Associates of Manatee LLP
• Eye Doctors Optical Outlets PA
• Daniel Emeka Ezekwudo, M.D
• Thomas M Fabian, MD
• Jason Thomas Faipler, D.C.

• Family Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.