ALPHA MEDICAL WAVE LLC NPI 1386391266

NPI Information

NPI: 1386391266
Provider Name: ALPHA MEDICAL WAVE, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2261506

Address:
2290 10TH AVE N STE 104
LAKE WORTH, FL
ZIP 33461
Phone: (561) 420-0012
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ALPHA MEDICAL WAVE, LLC is a multi-specialty clinic center in Lake Worth, FL. ALPHA MEDICAL WAVE, LLC NPI is 1386391266. The provider is registered as an organization entity type.

The provider's business location address is:

2290 10TH AVE N STE 104
LAKE WORTH, FL
ZIP 33461-609
Phone: (561) 420-0012
Fax: (561) 828-2227

The provider's authorized official is Alpha Opese .
The authorized official title is Owner and has the following contact phone number (712) 899-2877.

The CLIA number assigned to this NPI record is 10D2261506 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2022 and was last updated on 3/9/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 5/5/2024

NPI Synchronization or Removal

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