Provider Demographics
NPI:1730409814
Name:WAYPOINT MEDICAL LLC
Entity type:Organization
Organization Name:WAYPOINT MEDICAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RILEY
Authorized Official - Last Name:MOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-690-4382
Mailing Address - Street 1:1001 S RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:FL
Mailing Address - Zip Code:32132-2348
Mailing Address - Country:US
Mailing Address - Phone:386-690-4382
Mailing Address - Fax:386-423-9944
Practice Address - Street 1:500 N WASHINGTON AVE STE 108
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-2759
Practice Address - Country:US
Practice Address - Phone:386-690-4382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-11
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPENDING APPROVAL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health