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Organization
DWIC OF TAMPA BAY, INC
Active
Organization
DWIC OF TAMPA BAY, INC
Active
Other names
MedExpress Urgent Care - Cape Coral, SW Pine Island Rd
Organization subpart
No
Provider details
NPI number
Authorized official
JOY KIMBALL (CONTRACT MANAGER)
(763) 349-6740
Entity
Organization
Contact information
Practice address
313 SW PINE ISLAND ROAD, CAPE CORAL, FL 33991-2043
(239) 458-6755
(239) 772-0421
Mailing address
423 FORTRESS BLVD, MORGANTOWN, WV 26508-1351
(304) 225-2500
(304) 985-6350
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/29/2016
Last updated
05/07/2024
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