| New Wave Medical Group Pa | |
|
9018 60th Ave E Bradenton FL 34202-9642 | |
| (844) 327-2199 | |
| Not Available |
| Full Name | New Wave Medical Group Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 9018 60th Ave E, Bradenton, Florida |
| Authorized Official Name and Position | Dalia Elizalde (MANAGER) |
| Authorized Official Contact | 8443272199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Wave Medical Group Pa 9018 60th Ave E Bradenton FL 34202-9642 Ph: (844) 327-2199 | New Wave Medical Group Pa 9018 60th Ave E Bradenton FL 34202-9642 Ph: (844) 327-2199 |
| NPI Number | 1912655069 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 01/27/2023 |
| Medicare PECOS PAC ID | 5395122147 |
|---|---|
| Medicare Enrollment ID | O20220517000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912655069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Andrew Akerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013959220 PECOS PAC ID: 4183626690 Enrollment ID: I20070213000641 |
| Provider Name | Natalia Capote |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518293661 PECOS PAC ID: 8022267806 Enrollment ID: I20150720001532 |
| Provider Name | Cammie Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548715295 PECOS PAC ID: 3375839392 Enrollment ID: I20160831000048 |
| Provider Name | Stephanie Lynn Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073253399 PECOS PAC ID: 2264829050 Enrollment ID: I20220426000926 |
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