Organization
DWIC OF TAMPABAY, INC
Active
Other names
Doctor's Walk-In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOY KIMBALL (CONTRACT MANAGER)
(763) 349-6740
Entity
Organization
Contact information
Practice address
5015 E BUSCH BLVD, TAMPA, FL 33617-5303
(813) 985-2784
(813) 989-9129
Mailing address
423 FORTRESS BLVD, MORGANTOWN, WV 26508-1351
(304) 225-2500
(304) 985-6350
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG6489
RR MEDICARE
FL
Enumeration date
05/08/2006
Last updated
05/07/2024
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