| Blue Wave Ortho Partners Pllc | |
|
1773 W Fletcher Ave Tampa FL 33612-1820 | |
| (813) 968-2483 | |
| Not Available |
| Full Name | Blue Wave Ortho Partners Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1773 W Fletcher Ave, Tampa, Florida |
| Authorized Official Name and Position | Sharon Callaghan (INSURANCE COORDINATOR) |
| Authorized Official Contact | 8139682483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Wave Ortho Partners Pllc 1773 W Fletcher Ave Tampa FL 33612-1820 Ph: (813) 968-2483 | Blue Wave Ortho Partners Pllc 1773 W Fletcher Ave Tampa FL 33612-1820 Ph: (813) 968-2483 |
| NPI Number | 1437671195 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437671195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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