# ADM ORTHOPAEDICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brevard Orthopaedic Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285255810
- **Authorized official:** DR. ALLISON WADE MD (OWNER/DOCTOR)
- **Authorized official phone:** (772) 631-1741

## Contact information

- **Practice address:** 930 S HARBOR CITY BLVD STE 101, MELBOURNE, FL 32901-1901
- **Practice address phone:** (321) 345-7579
- **Practice address fax:** (321) 327-2494
- **Mailing address:** 930 S HARBOR CITY BLVD STE 101, MELBOURNE, FL 32901-1901
- **Mailing address phone:** (321) 345-7579
- **Mailing address fax:** (321) 327-2494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2020
- **Last updated:** 03/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MX816 | MEDICARE | FL |
