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BLUE WAVE PSYCHIATRY LLC NPI 1164857876


NPI Information

NPI: 1164857876
Provider Name: BLUE WAVE PSYCHIATRY LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
6601 MEMORIAL HWY
TAMPA, FL
ZIP 33615
Phone: (727) 871-1178
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BLUE WAVE PSYCHIATRY LLC is a psychiatry psychiatry neurology in Tampa, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. BLUE WAVE PSYCHIATRY LLC NPI is 1164857876. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6601 MEMORIAL HWY
TAMPA, FL
ZIP 33615-501
Phone: (727) 871-1178

The provider's authorized official is Felix Widlacki .
The authorized official title is Ceo and has the following contact phone number (727) 871-1178.

The enumeration date for this NPI number is 9/12/2013 and was last updated on 9/1/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryOS11223FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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