Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Wave Medical Associates, LLC

Organization Family Medicine Physician · NPI 1760167233

Blue Wave Medical Associates, LLC is a Family Medicine Physician in Clearwater, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1105 S Fort Harrison Ave
Clearwater, FL 33756-3907
Phone: (727) 303-3117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1760167233
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Audrey Paul — Owner · (917) 576-7624
NPI enumeratedJune 21, 2023
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address1105 S Fort Harrison Ave, Clearwater, FL 33756-3907

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