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LISA WAVES OF CARE NPI 1487199147


NPI Information

NPI: 1487199147
Provider Name: LISA WAVES OF CARE
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
3403 AVENUE J
FORT PIERCE, FL
ZIP 34947
Phone: (772) 332-7625
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LISA WAVES OF CARE is a developmental disabilities clinic center in Fort Pierce, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). LISA WAVES OF CARE NPI is 1487199147. The provider is registered as an organization entity type.

The provider's business location address is:

3403 AVENUE J
FORT PIERCE, FL
ZIP 34947-341
Phone: (772) 332-7625

The provider's authorized official is Lisa Mccutchen .
The authorized official title is President and has the following contact phone number (772) 332-7625.

The enumeration date for this NPI number is 1/4/2017 and was last updated on 1/4/2017.


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
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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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