Organization Active NPI

Waves-of-Life Family Telehealth Services

  • Family Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1093409765
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jun 6, 2023

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.