# CARITAS WOMANCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WUESTHOFF FAMILY PHYSICIANS INC
- **Other names:** CARITAS WOMANCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386847887
- **Legal business name:** WUESTHOFF FAMILY PHYSICIANS INC
- **Authorized official:** SANDI LAROCHE (MSO CREDENTIALING COORDINATOR)
- **Authorized official phone:** (321) 449-4168

## Contact information

- **Practice address:** 240 N WICKHAM RD, STE 104, MELBOURNE, FL 32935-8662
- **Practice address phone:** (321) 242-1325
- **Practice address fax:** (321) 242-1870
- **Mailing address:** 150 N SYKES CREEK PKWY, SUITE 300, MERRITT ISLAND, FL 32953-3488
- **Mailing address phone:** (321) 449-4168
- **Mailing address fax:** (321) 449-4164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME0075697 | FL | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 03/23/2010
