| Express Care Medical Cinic | |
|
3161 Harbor Blvd Suite A Port Charlotte FL 33952-6754 | |
| (941) 629-1218 | |
| (941) 625-9465 |
| Full Name | Express Care Medical Cinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3161 Harbor Blvd, Port Charlotte, Florida |
| Authorized Official Name and Position | Michael Dominic Mozzetti (OWNER) |
| Authorized Official Contact | 9416291218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Express Care Medical Cinic 3161 Harbor Blvd Suite A Port Charlotte FL 33952-6754 Ph: (941) 629-1218 | Express Care Medical Cinic 3161 Harbor Blvd Suite A Port Charlotte FL 33952-6754 Ph: (941) 629-1218 |
| NPI Number | 1003073214 |
|---|---|
| Provider Enumeration Date | 05/16/2008 |
| Last Update Date | 03/22/2017 |
| Medicare PECOS PAC ID | 7719057603 |
|---|---|
| Medicare Enrollment ID | O20080604000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003073214 | NPI | - | NPPES |
| 32306 | Other | FL | BLUE CROSS BLUE SHIELD |
| 1867775 | Other | FL | AETNA |
| 262587296 | Other | FL | HUMANA |
| 262587296 | Other | FL | BCBS FLORIDA |
| 262587296 | Other | FL | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME069032 (* (Not Available)) | Primary |
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