Active NPI
Waves-of-Life Family Telehealth Services
- Family Medicine Physician
- Saint Cloud, FL
National Provider Identifier
1093409765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WAVES-OF-LIFE FAMILY TELEHEALTH SERVICES
- Practice address
- 1870 Stillwood Way
Saint Cloud, FL 34771-8022 - Phone
- (407) 973-5266
- NPI assigned
- Jun 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Tina Marie Albino, ARNP-FNP
- Title
- Owner
- Phone
- (689) 213-5334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1870 Stillwood Way
Saint Cloud, FL 34771-8022
Mailing address
1870 Stillwood Way
Saint Cloud, FL 34771-8022
Phone (407) 973-5266
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1093409765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 STILLWOOD WAY",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347718022",
"telephone_number": "407-973-5266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 STILLWOOD WAY",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347718022",
"telephone_number": "407-973-5266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAVES-OF-LIFE FAMILY TELEHEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "ALBINO",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "689-213-5334",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "ARNP-FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.