OrganizationActive
Alpha Wave Health Centers LLC
NPI 1932745346 · Clinic/Center · St Augustine, FL
Provider details
- NPI number
- 1932745346
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Goran Mladen, Owner
Practice location
101 E Town Pl Ste 100
St Augustine, FL 32092-2726
Phone: (386) 763-1400
Mailing address
101 E Town Pl Ste 100
St Augustine, FL 32092-2726
Registry dates
- Enumerated
- 2019-11-20
- Last updated
- 2019-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.