Organization
BLUE WAVE MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY Z PAUL MD (OWNER)
(917) 576-7624
Entity
Organization
Contact information
Practice address
1822 DREW ST, CLEARWATER, FL 33765-2921
(917) 576-7624
Mailing address
1105 S FORT HARRISON AVE, CLEARWATER, FL 33756-3907
(727) 303-3117
(727) 335-4430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
12/11/2025
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