Organization
DWIC OF TAMPA BAY, INC
Active
Other names
MedExpress Urgent Care - Lakeland, N Road 98
Organization subpart
No
Provider details
NPI number
Authorized official
JOY KIMBALL (CONTRACT MANAGER)
(763) 349-6740
Entity
Organization
Contact information
Practice address
3700 US HIGHWAY 98 N UNIT 101, LAKELAND, FL 33809-3863
(863) 815-9523
(863) 815-9524
Mailing address
423 FORTRESS BLVD, MORGANTOWN, WV 26508-1351
(304) 225-2500
(304) 985-6350
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
05/07/2024
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