| Waves-of-life Family Telehealth Services | |
|
1870 Stillwood Way Saint Cloud FL 34771-8022 | |
| (407) 973-5266 | |
| Not Available |
| Full Name | Waves-of-life Family Telehealth Services |
|---|---|
| Speciality | Family Medicine |
| Location | 1870 Stillwood Way, Saint Cloud, Florida |
| Authorized Official Name and Position | Tina Marie Albino (OWNER) |
| Authorized Official Contact | 6892135334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waves-of-life Family Telehealth Services 1870 Stillwood Way Saint Cloud FL 34771-8022 Ph: (407) 973-5266 | Waves-of-life Family Telehealth Services 1870 Stillwood Way Saint Cloud FL 34771-8022 Ph: (407) 973-5266 |
| NPI Number | 1093409765 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 06/06/2023 |
| Medicare PECOS PAC ID | 0648639781 |
|---|---|
| Medicare Enrollment ID | O20230707000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093409765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tina Marie Albino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750921722 PECOS PAC ID: 0840604955 Enrollment ID: I20210202000564 |
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