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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLUE WAVE MEDICAL ASSOCIATES, LLC
NPI 1760167233
Pediatrics in Clearwater, FL

Active since June 21, 2023CLIA 10D2293292 · Waiver
1105 S FORT HARRISON AVE, CLEARWATER, FL 33756(727) 303-3117 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2025, Jun 21, 2023 (2 updates tracked since 2023).

About Blue Wave Medical Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WAVE MEDICAL ASSOCIATES, LLC (NPI 1760167233) is a healthcare organization registered as a pediatrics in Clearwater, Florida and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Audrey Z Paul, Owner, as its authorized official.

NPPES Registry Identity

NPI1760167233
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBLUE WAVE MEDICAL ASSOCIATES, LLC
Location Address1105 S FORT HARRISON AVEClearwater, FL 33756-3907
Mailing Address1105 S Fort Harrison AveClearwater, FL 33756-3907 · (727) 303-3117 · Fax (727) 335-4430
Phone(727) 303-3117
Organization SubpartNo
Authorized OfficialAudrey Z PaulOwner · (917) 576-7624
Enumeration DateJune 21, 2023
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1760167233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X
1105 S FORT HARRISON AVE, Clearwater, FL 33756
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2293292

Blue Wave Medical Associates LLC · Clearwater, FL
Active · expires Nov 6, 2027
CLIA Number10D2293292
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorAudrey Paul
Laboratory Phone(727) 303-3117
Laboratory LocationBlue Wave Medical Associates LLC1105 South Fort Harrison Ave, Clearwater, FL 33756
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDREY ZELICOF PAUL MD PHD
Pediatrics
1105 S FORT HARRISON AVE
CLEARWATER, FL 33756
Pinellas County (727) 303-3117
MRS. KATHRYN B MCNEELY MD
Pediatrics
1105 S FORT HARRISON AVE
CLEARWATER, FL 33756
Pinellas County (727) 461-3163
MRS. CELIA P DI MARCO MD
Pediatrics
1105 S FORT HARRISON AVE
CLEARWATER, FL 33756
Pinellas County (727) 461-3163

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Wave Medical Associates, LLC's NPI number?

The NPI number for Blue Wave Medical Associates, LLC is 1760167233. It was assigned to this organization in the NPPES registry on June 21, 2023.

Where is Blue Wave Medical Associates, LLC located?

Blue Wave Medical Associates, LLC is located at 1105 S Fort Harrison Ave, Clearwater, FL 33756. The listed phone number is (727) 303-3117.

What is Blue Wave Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Blue Wave Medical Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2293292) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Wave Medical Associates, LLC was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.