Healthcare Provider Details

I. General information

NPI: 1013402833
Provider Name (Legal Business Name): MD NOW MEDICAL CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2018
Last Update Date: 12/28/2021
Certification Date: 12/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 21ST ST
VERO BEACH FL
32960-0933
US

IV. Provider business mailing address

2007 PALM BEACH LAKES BLVD
WEST PALM BEACH FL
33409-6501
US

V. Phone/Fax

Practice location:
  • Phone: 772-299-1092
  • Fax: 772-978-1960
Mailing address:
  • Phone: 561-420-8555
  • Fax: 561-420-8550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: WILLIAM N. HOWORTH
Title or Position: CFO
Credential:
Phone: 615-975-6896