# CEREUS OSTEOPATHIC MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336767680
- **Authorized official:** DR. AMY JOY SELWACH DO MBA (SOLE MEMBER)
- **Authorized official phone:** (954) 257-4262

## Contact information

- **Practice address:** 870 N COCOA BLVD STE A, COCOA, FL 32922-7588
- **Practice address phone:** (321) 866-8847
- **Practice address fax:** (954) 351-8349
- **Mailing address:** 870 N COCOA BLVD STE A, COCOA, FL 32922-7588
- **Mailing address phone:** (321) 866-8847
- **Mailing address fax:** (954) 351-8349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2020
- **Last updated:** 07/13/2020