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Organization
HEALTHWAVE INC
Active
Organization
HEALTHWAVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE TUCKER (BILLING MANAGER)
(904) 272-3440
Entity
Organization
Contact information
Practice address
1401 PENMAN RD STE C, JACKSONVILLE BEACH, FL 32250-3647
(904) 242-0707
Mailing address
1401 PENMAN RD STE C, JACKSONVILLE BEACH, FL 32250-3647
(904) 242-0707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8057
FL
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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