| Alpha Wave Health Centers Llc | |
|
101 E Town Pl Ste 100 St Augustine FL 32092-2726 | |
| (386) 763-1400 | |
| Not Available |
| Full Name | Alpha Wave Health Centers Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 101 E Town Pl Ste 100, St Augustine, Florida |
| Authorized Official Name and Position | Goran Mladen (OWNER) |
| Authorized Official Contact | 3868711975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Wave Health Centers Llc 101 E Town Pl Ste 100 St Augustine FL 32092-2726 Ph: (386) 763-1400 | Alpha Wave Health Centers Llc 101 E Town Pl Ste 100 St Augustine FL 32092-2726 Ph: (386) 763-1400 |
| NPI Number | 1932745346 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 11/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932745346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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