Wave Medical Florida LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WAVE MEDICAL FLORIDA LLC

Practice address

201 S a St
Pensacola, FL 32502-5554

Phone

(480) 621-1718

NPI assigned

Jun 15, 2020

Last updated

Jun 15, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anthony S Perry, MDNPI 1073713897

Title

Medical Director

Phone

(480) 621-1718

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Steele Perry, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lehi, UT
  • NPI 1073713897
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1184249211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S A ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S A ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025554",
            "telephone_number": "480-621-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE MEDICAL FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-621-1718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Andrew Watson, PAC
• Darlene Watts
• Erica Watts, MSW
• Linda Watts, ARNP
• Monica Watts, CBGT,
• Kevin Waymire, LMFT, RPT
• Wayne S Willis MD LLC
• Wayne S. Willis MD LLC
• We Care Transportation Service LLC
• Christine Kennedy Weakley, PA

• General Practice Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.