Healthcare Provider Details
I. General information
NPI: 1831791078
Provider Name (Legal Business Name): MD NOW MEDICAL CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/12/2020
Last Update Date: 12/28/2021
Certification Date: 12/28/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1838 RYE RD
BRADENTON FL
34212-9038
US
IV. Provider business mailing address
2007 PALM BEACH LAKES BLVD
WEST PALM BEACH FL
33409-6501
US
V. Phone/Fax
- Phone: 941-462-2004
- Fax: 888-442-6078
- Phone: 561-420-8555
- Fax: 561-420-8550
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
N.
HOWORTH
Title or Position: CFO
Credential:
Phone: 615-975-6896