NPIMap

Organization Active NPI

Express Care Medical Clinic

  • Family Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1295904571
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 22, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
MICHAEL D MOZZETTI MD PLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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.NPI 1265591259
Title
Owner
Phone
(941) 629-1218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME069032 FL Primary

Addresses

Primary practice location

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

Mailing address

3161 Harbor Blvd
Suite a
Port Charlotte, FL 33952-6754
Phone (941) 629-1218

National Provider Directory

National Provider Directory
Part of
Michael D Mozzetti MD PL

Locations

3161 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 235-8892

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • 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.