Organization
ALPHA WAVE HEALTH CENTERS LLC
Active
Parent organization
ALPHA WAVE HEALTH CENTERS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA WAVE HEALTH CENTERS LLC
Authorized official
GORAN MLADEN (OWNER)
(386) 871-1975
Entity
Organization
Contact information
Practice address
10 WATERSIDE DR STE 101, FARMINGTON, CT 06032-3056
(860) 798-0555
Mailing address
101 E TOWN PL STE 100, ST AUGUSTINE, FL 32092-2726
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2019
Last updated
11/17/2019
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