Provider Demographics
NPI:1699065102
Name:PHYSICIANSEXPRESS CARE, INC.
Entity type:Organization
Organization Name:PHYSICIANSEXPRESS CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:BRETT
Authorized Official - Last Name:SACK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-371-3800
Mailing Address - Street 1:1311 E OAK ST
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-8902
Mailing Address - Country:US
Mailing Address - Phone:863-491-9000
Mailing Address - Fax:863-491-9700
Practice Address - Street 1:1311 E OAK ST
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-8902
Practice Address - Country:US
Practice Address - Phone:863-491-9000
Practice Address - Fax:863-491-9700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME56807261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care