Blue Wave Psychiatry LLC
Blue Wave Psychiatry LLC provides Psychiatry Physician services in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2013.
- Licensed in
- FL
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6601 Memorial HwyTampa, FL 33615-4501
Phone: (727) 871-1178
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence OS11223 (FL) |
|---|
Record details
| NPI number | 1164857876 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Felix Widlacki — Ceo · (727) 871-1178 |
| NPI enumerated | September 12, 2013 |
| Last updated in NPPES | September 1, 2020 |
| Certification date | September 1, 2020 |
| Mailing address | 6601 Memorial Hwy, Tampa, FL 33615-4501 |
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