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EWC SPORTS MEDICINE
NPI 1841794682
Pediatrics - Adolescent Medicine in Jacksonville, FL

Active since March 19, 2018
1658 KINGS RD, JACKSONVILLE, FL 32209(972) 367-4845 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ewc Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EWC SPORTS MEDICINE (NPI 1841794682) is a healthcare organization registered as an adolescent medicine in Jacksonville, Florida and active in the NPI registry since March 2018. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1841794682
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameW.B. STEWART TIGERS ATHLETICS BOOSTERS
Location Address1658 KINGS RDJacksonville, FL 32209-6167
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995
Phone(972) 367-4845
Organization SubpartNo
Authorized OfficialMouzon BassAgent · (972) 367-4845
Enumeration DateMarch 19, 2018
✔ NPI 1841794682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1658 KINGS RD, Jacksonville, FL 32209
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Other Names 1

Doing Business AsEwc Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAELAN WILLIAMS ATC
Specialist/Technologist (Athletic Trainer)
1658 KINGS RD
JACKSONVILLE, FL 32209
Duval County (904) 470-8000
EDWARD WATERS UNIVERSITY
Family Medicine (Sports Medicine)
1658 KINGS RD
JACKSONVILLE, FL 32209
Duval County (972) 367-4845

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is W.B. Stewart Tigers Athletics Boosters's NPI number?

The NPI number for W.B. Stewart Tigers Athletics Boosters is 1841794682. It was assigned to this organization in the NPPES registry on March 19, 2018. The provider is doing business as Ewc Sports Medicine.

Where is W.B. Stewart Tigers Athletics Boosters located?

W.B. Stewart Tigers Athletics Boosters is located at 1658 Kings Rd, Jacksonville, FL 32209. The listed phone number is (972) 367-4845.

What is W.B. Stewart Tigers Athletics Boosters's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for W.B. Stewart Tigers Athletics Boosters was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.