| Alpha Medical Wave, Llc | |
|
2290 10th Ave N Ste 104 Lake Worth FL 33461-6609 | |
| (561) 420-0012 | |
| (561) 828-2227 |
| Full Name | Alpha Medical Wave, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2290 10th Ave N Ste 104, Lake Worth, Florida |
| Authorized Official Name and Position | Alpha Opese (OWNER) |
| Authorized Official Contact | 7128992877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Medical Wave, Llc 1197 Hillside Ave # A26 Niskayuna NY 12309-3539 Ph: (712) 899-2877 | Alpha Medical Wave, Llc 2290 10th Ave N Ste 104 Lake Worth FL 33461-6609 Ph: (561) 420-0012 |
| NPI Number | 1386391266 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386391266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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