<Unavail>

LBN: Way Medical Group
<Unavail> is an health care organization with primary practice located at 4780 Dairy Rd , Melbourne FL 32904-8482. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / General Practice, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, Agencies / Nursing Care, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Ambulatory Health Care Facilities / Research, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty. Way Medical Group can be contacted via phone (321) 989-2187, or through Bouldin, Jay via phone (321) 989-2187.

Contact Information

Primary practice address
4780 Dairy Rd Melbourne FL 32904-8482
Phone: (321) 989-2187
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bouldin, Jay
Phone: (321) 989-2187

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X
Agencies / Nursing Care 251J00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Ambulatory Health Care Facilities / Research 261QR1100X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1386365476
LBN Legal business name Way Medical Group
DBA Doing business as <Unavail>
Authorized official Bouldin, Jay
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2022
Last updated Jul 26th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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