Healthcare Provider Details
I. General information
NPI: 1588195226
Provider Name (Legal Business Name): MD NOW MEDICAL CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2017
Last Update Date: 12/28/2021
Certification Date: 12/28/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12301 S DIXIE HWY
PINECREST FL
33156-5237
US
IV. Provider business mailing address
2007 PALM BEACH LAKES BLVD
WEST PALM BEACH FL
33409-6501
US
V. Phone/Fax
- Phone: 305-971-8315
- Fax: 877-930-1191
- Phone: 561-420-8555
- Fax: 561-420-8550
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
| # 2 | |
| 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