# ORTHOPAEDIC ASSOCIATES OF BREVARD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WUESTHOFF FAMILY PHYSICIANS INC
- **Other names:** Orthopaedic Associates of Brevard
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407182819
- **Legal business name:** WUESTHOFF FAMILY PHYSICIANS INC
- **Authorized official:** SANDI LAROCHE (MSO CREDENTIALING COORDINATOR)
- **Authorized official phone:** (321) 449-4168

## Contact information

- **Practice address:** 1344 S APOLLO BLVD, \# 302, MELBOURNE, FL 32901-3183
- **Practice address phone:** (321) 309-2884
- **Practice address fax:** (321) 309-2807
- **Mailing address:** 150 N SYKES CREEK PKWY, \# 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 |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME93258 | FL | Yes |

## Other

- **Enumeration date:** 10/20/2009
- **Last updated:** 10/20/2009