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General NPI Number Information
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NPI Number | 1285593905
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Entity Type | Organization
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Legal Business Name | WAVEFORM WELLNESS SERVICES, LLC.
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 6050 CATTLERIDGE BLVD STE 301
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City | SARASOTA
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State | FL
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Zip | 34232-6036
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Country | US
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Telephone | 941-704-5231
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Fax | 941-552-7879
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 941-704-5231
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Fax | 941-552-7879
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Authorized Official
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Title or Position | OWNER/ NURSE PRACTITIONER
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Name | MRS. KRISTI FLIS
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Credential | MSN, APRN, FNP-C.
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Telephone | 941-704-5231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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