# WUESTHOFF MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WUESTHOFF MEMORIAL HOSPITAL INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164685756
- **Legal business name:** WUESTHOFF MEMORIAL HOSPITAL INC
- **Authorized official:** MR. GEORGE FAYER (SVP CFO)
- **Authorized official phone:** (321) 636-2211

## Contact information

- **Practice address:** 110 LONGWOOD AVE, MAIL STOP \#24, ROCKLEDGE, FL 32955-2828
- **Practice address phone:** (321) 636-2211
- **Mailing address:** 110 LONGWOOD AVE, MAIL STOP \#24, ROCKLEDGE, FL 32955-2828
- **Mailing address phone:** (321) 636-2211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 4132 | FL | Yes |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 07/03/2008