Organization

Wake Specialty Physicians Llc

May also be knows as Wakemed Physician Practices Physical Therapy

Durable Medical Equipment & Medical Supplies in Apex, NC(View on Map)

Legal Business Name

Wake Specialty Physicians Llc

Also Known As

Wakemed Physician Practices Physical Therapy

NPI Number

1275992455

NPI Type

Organization

Enumeration Date

02/17/2016

Specialties

(Taxonomies)

Code

332B00000X
225X00000X
225100000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 602195
10000 CAMBRIDGE VILLAGE LOOP

City

Charlotte
Apex

State

NC
NC

Postal Code

28260-2195
27502-7707

Country

US
US

Telephone Number

(919) 350-0552
(919) 629-8150

Authorized Official

Name

Maria Jayoussi

Title or Position

CHIEF FINANCIAL OFFICER

Telephone Number

(919) 350-6089

Identifiers

Identifier

7108950011

Identifier State

NC

Identifier Issuer

DME PTAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/19/2016

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