Walk on Water Ministries of Central Florida (Wow) Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WALK ON WATER MINISTRIES OF CENTRAL FLORIDA (WOW) INC.

Practice address

3330 Perkinson LN Merritt Island FL 32953
Merritt Island, FL 32953-3295

Phone

(321) 412-8057

NPI assigned

Jan 18, 2021

Organization subpart

No

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

Authorized official

Name

Patricia Bryan, MS HEALTH AND HUMAN

Title

Executive Director

Phone

(321) 412-8057

Specialties & licenses 1

Addresses

Other names 1

• Walk on Water ministries of Central Florida Inc. Other name

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1548859192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 N TROPICAL TRL",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538221",
            "telephone_number": "321-412-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PERKINSON LN MERRITT ISLAND FL 32953",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533295",
            "telephone_number": "321-412-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK ON WATER MINISTRIES OF CENTRAL FLORIDA (WOW) INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "321-412-8057",
        "authorized_official_credential": "MS HEALTH AND HUMAN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walk on Water ministries of Central Florida Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.