# ALPHA MEDICAL WAVE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OUTSTITUTE OF HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386391266
- **Legal business name:** OUTSTITUTE OF HEALTH
- **Authorized official:** ALPHA OPESE (OWNER)
- **Authorized official phone:** (712) 899-2877

## Contact information

- **Practice address:** 2290 10TH AVE N STE 104, LAKE WORTH, FL 33461-6609
- **Practice address phone:** (561) 420-0012
- **Practice address fax:** (561) 828-2227
- **Mailing address:** 1197 HILLSIDE AVE \# A26, NISKAYUNA, NY 12309-3539
- **Mailing address phone:** (712) 899-2877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2022
- **Last updated:** 03/09/2022