Basic Information
Provider Information
NPI: 1013402833
EntityType: 2
ReplacementNPI:  
OrganizationName: MD NOW MEDICAL CENTERS INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: MD NOW URGENT CARE
OtherOrganizationType: 4
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2007 PALM BEACH LAKES BLVD
Address2:  
City: WEST PALM BEACH
State: FL
PostalCode: 334096501
CountryCode: US
TelephoneNumber: 5614208555
FaxNumber: 5614208550
Practice Location
Address1: 640 21ST ST
Address2:  
City: VERO BEACH
State: FL
PostalCode: 329600933
CountryCode: US
TelephoneNumber: 7722991092
FaxNumber: 7729781960
Other Information
ProviderEnumerationDate: 06/25/2018
LastUpdateDate: 12/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: HOWORTH
AuthorizedOfficialFirstName: WILLIAM
AuthorizedOfficialMiddleName: N.
AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 6159756896
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X  N193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansGeneral Practice 
261QU0200X FLY Ambulatory Health Care FacilitiesClinic/CenterUrgent Care

No ID Information.


Home