Ewc Sports Medicine

LBN: W.B. Stewart Tigers Athletics Boosters
Ewc Sports Medicine is an health care organization with primary practice located at 1658 Kings Rd , Jacksonville FL 32209-6167. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. W.B. Stewart Tigers Athletics Boosters can be contacted via phone (972) 367-4845, or through Bass, Mouzon via phone (972) 367-4845.

Contact Information

Primary practice address
1658 Kings Rd Jacksonville FL 32209-6167
Phone: (972) 367-4845
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bass, Mouzon
Phone: (972) 367-4845

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1841794682
LBN Legal business name W.B. Stewart Tigers Athletics Boosters
DBA Doing business as Ewc Sports Medicine
Authorized official Bass, Mouzon
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2018
Last updated Mar 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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