Provider Profile
MEDEXPRESS URGENT CARE-PORT CHARLOTTE, TAMIAMI TRL
Health Care Clinic
FACILITY PROFILE
Street Address
- 2200 TAMIAMI TRL
PORT CHARLOTTE, FL 33948
County: Charlotte - Phone: (941) 613-0022
Mailing Address
- 423 FORTRESS BLVD
MORGANTOWN, WV 26508
County: - Phone: (724) 597-6230
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | |||||||||||||||||||||||||||
| Medical or Clinic Director: | Not Available | |||||||||||||||||||||||||||
| Administrator: | DAVID R FERRELL | |||||||||||||||||||||||||||
| Owner/Licensee: | DWIC OF TAMPA BAY INC | |||||||||||||||||||||||||||
| Owner/Licensee Since: | 11/10/2016 | |||||||||||||||||||||||||||
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| Profit Status: | For-Profit | |||||||||||||||||||||||||||
| Licensed Beds: | Not Available | |||||||||||||||||||||||||||
| AHCA Number (File Number): | 11573 | |||||||||||||||||||||||||||
| AHCA Field Office: | 08 | |||||||||||||||||||||||||||
| License Number: | 10873 | |||||||||||||||||||||||||||
| Current License Effective: | 1/4/2024 | |||||||||||||||||||||||||||
| Current License Expires: | 4/4/2025 | |||||||||||||||||||||||||||
| License Status: | CLOSED | |||||||||||||||||||||||||||
Services/Characteristics
| Specialty: | Urgent Care |
| Type: | Fixed Location |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.