| Wave Medical Florida Llc | |
|
201 S A St Pensacola FL 32502-5554 | |
| (480) 621-1718 | |
| Not Available |
| Full Name | Wave Medical Florida Llc |
|---|---|
| Speciality | General Practice |
| Location | 201 S A St, Pensacola, Florida |
| Authorized Official Name and Position | Anthony S Perry (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4806211718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wave Medical Florida Llc 201 S A St Pensacola FL 32502-5554 Ph: () - | Wave Medical Florida Llc 201 S A St Pensacola FL 32502-5554 Ph: (480) 621-1718 |
| NPI Number | 1184249211 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184249211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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