WAVE MEDICAL FLORIDA LLC (NPI# 1184249211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184249211 |
| Entity Type | Organization |
| Organization Name | WAVE MEDICAL FLORIDA LLC |
| Practice Address |
201 S A St Pensacola FL 32502-5554 |
| Practice Telephone | 4806211718 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | DR. ANTHONY S PERRY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4806211718 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
201 S A ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32502-5554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306970595 | Michael Thomas Harris | Physical Medicine & Rehabilitation | 201 S A St, Pensacola, FL 32502-5554 | 2007-03-16 |
| 1245795475 | Performance and Regenerative Medicine of Pensacola Pa | Physical Medicine & Rehabilitation | 201 S A St, Pensacola, FL 32502-5554 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199762 | Anita Kay Morris | Marriage & Family Therapist | 25 W Cedar St Ste 205, Pensacola, FL 32502 | 2019-05-10 |
| 1013409028 | Everydaydoctor Inc | Internal Medicine | 13 Palafox Pl Ste 200, Pensacola, FL 32502 | 2018-06-05 |
| 1780119115 | Felisha Palmer | Nurse's Aide | 619 W Gregory St Apt A, Pensacola, FL 32502 | 2017-04-24 |
| 1619428257 | Young Men's Christian Association of Northwest Florida, Inc. | Health Educator | 165 E.intendencia Street, Pensacola, FL 32502 | 2016-10-19 |
| 1972968386 | Lauren Reeves | Counselor | 435 E Zarragossa St, Pensacola, FL 32502 | 2015-12-30 |
| 1902202492 | Amabel Arquillano | Physical Therapist | 600 West Gregory Street, Pensacol, FL 32502 | 2014-11-10 |
| 1639579568 | Community Experiences LLC | Home Health | 321 N Devillers St Suite 221, Pensacola, FL 32502 | 2014-08-28 |
| 1831523612 | Our Lady of Angels, St. Joseph Medical Clinic, Inc | Clinic/Center | 131 W. Intendencia St., Pensacola, FL 32502 | 2013-08-28 |
| 1295013266 | Sabrina Gail Evans | Family Medicine | 236 West Garden Street, Pensacola, FL 32502 | 2011-07-25 |
| 1356538771 | Optum Infusion Services 204, Inc. | Pharmacy | 201 N. Tarragona Street, Pensacola, FL 32502 | 2007-09-30 |
| Find all providers in zip 32502 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939813 | Cher Lakeesha Nix | General Practice | 1820 W De Soto St, Pensacola, FL 32501-6432 | 2019-12-20 |
| 1386012896 | Anil Kumar Raj | General Practice | 40 S Alcaniz St, Pensacola, FL 32502-6008 | 2015-09-14 |
| 1609267475 | Stephen C. Lott, Psy.d. LLC | General Practice | 105 E Gregory Sq, Suite G, Pensacola, FL 32502-4971 | 2015-02-13 |
| 1871831958 | Peter Christian Delevett | General Practice | 131 W Intendencia St, Pensacola, FL 32502-5708 | 2013-01-23 |
| 1518282417 | Timothy Duane Brooks | General Practice | 4806 Rosemont Pl, Pensacola, FL 32514-7909 | 2010-04-02 |
| 1104063023 | Widalys Santiago Miranda | General Practice | 140 W Government St, Pensacola, FL 32502-5703 | 2009-01-14 |
| 1699956730 | Tim J Gallagher | General Practice | 382 Gulfview Ln, Pensacola, FL 32507-7840 | 2007-11-16 |
| 1750437497 | Minh Cong Pham | General Practice | 2812 W Cervantes St, Pensacola, FL 32505-7159 | 2007-01-26 |
| 1336218023 | Kenric Turingan Aban | General Practice | 2325 Aegean Ter, Pensacola, FL 32503-5854 | 2006-11-07 |
| 1396838090 | Lieng Kim Du | General Practice | 907 North U Street, Pensacola, FL 32505 | 2006-10-02 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.