Organization
NEW WAVE DIAGNSOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MANTOR (CEO)
(561) 962-2206
Entity
Organization
Contact information
Practice address
20283 STATE ROAD 7, SUITE 300, BOCA RATON, FL 33498-6901
(561) 962-2206
Mailing address
20283 STATE ROAD 7, SUITE 300, BOCA RATON, FL 33498-6901
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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