Wave Scientific LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WAVE SCIENTIFIC LLC

Practice address

12300 Alt A1A Ste 105
Palm Beach Gardens, FL 33410-2206

Phone

(561) 678-2311

Fax

(561) 283-0511

NPI assigned

Jun 30, 2020

Organization subpart

No

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

Authorized official

Name

Harry J Ross, ESQ

Title

Esq

Phone

(561) 482-2400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1497372916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 ALT A1A STE 105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 ALT A1A STE 105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102206",
            "telephone_number": "561-678-2311",
            "fax_number": "561-283-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE SCIENTIFIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ESQ",
        "authorized_official_telephone_number": "561-482-2400",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Waterman, D.O.
• Waterway Wellness & Psychiatry, LLC
• Miriam R Watkins, DC
• Grace Watson, RN
• Joseph Gerald Watson, DMD
• Bruce Waxman, M.D.
• Russell Barborie Wayland III, M.D.
• Teresa Webb, PSYD, LMHC
• Jennifer L Weber, LCSW
• Jamie Elaine Weeks

• Clinical Medical Laboratory in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.