# EXPRESS CARE MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MICHAEL D MOZZETTI MD PL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295904571
- **Legal business name:** MICHAEL D MOZZETTI MD PL
- **Authorized official:** DR. MICHAEL D. MOZZETTI SR. M.D., F.A.C.E.P. (OWNER)
- **Authorized official phone:** (941) 629-1218

## Contact information

- **Practice address:** 3161 HARBOR BLVD, SUITE A, PORT CHARLOTTE, FL 33952-6754
- **Practice address phone:** (941) 629-1218
- **Practice address fax:** (941) 625-9465
- **Mailing address:** 3161 HARBOR BLVD, SUITE A, PORT CHARLOTTE, FL 33952-6754
- **Mailing address phone:** (941) 629-1218
- **Mailing address fax:** (941) 625-9465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME069032 | FL | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 03/22/2017
