Dwic of Tampa Bay, Inc.
Organization Active NPI Urgent Care Clinic/Center · Seffner, FL
NPI 1801845011 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1801845011
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- DWIC OF TAMPA BAY, INC.
- Practice address
- 801 W. Martin Luther King Boulevard
Seffner, FL 33584-4635 - Phone
- (813) 684-4424
- Fax
- (813) 684-0797
- NPI assigned
- May 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Joy Kimball
- Title
- Contract Manager
- Phone
- (763) 349-6740
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Dwic of Tampa Bay Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
801 W. Martin Luther King Boulevard
Seffner, FL 33584-4635
Mailing address
423 Fortress Blvd
Morgantown, WV 26508-1351
Phone (304) 225-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018113300 | Medicaid | FL |
Other names
- MedExpress Urgent Care - Seffner
Other providers in Seffner, FL
- Anthony Joseph Dimaio Jr.
- Diverse Interventions Social and Behavioral Sciences, LLC
- Docs Hotline Inc
- Assad Migueely Duconger Guerra
- Adina Duley
- Christian Jerrard Edmonds
- Sibil Elavumkal
- Emily & Anghely'S Alf Corp
- Empower Therapeutics
- Gustavo Facio Orozco
All providers in Seffner, FL · Urgent Care Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.