| Wave International Llc, The | |
|
2120 Range Rd Clearwater FL 33765-2125 | |
| (727) 205-7077 | |
| Not Available |
| Full Name | Wave International Llc, The |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 2120 Range Rd, Clearwater, Florida |
| Authorized Official Name and Position | Christopher Wright Fox (CEO) |
| Authorized Official Contact | 3105477501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wave International Llc, The 28059 Us Highway 19 N Ste 205 Clearwater FL 33761-2620 Ph: (727) 205-2077 | Wave International Llc, The 2120 Range Rd Clearwater FL 33765-2125 Ph: (727) 205-7077 |
| NPI Number | 1588130363 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588130363 | NPI | - | NPPES |
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