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Organization
BREVARD HMA HME, LLC
Active
Organization
BREVARD HMA HME, LLC
Active
Other names
Wuesthoff Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY R PARRY (SENIOR VICE PRESIDENT/GENERAL COUNS)
(239) 598-3131
Entity
Organization
Contact information
Practice address
401 N WICKHAM RD, SUITE K, MELBOURNE, FL 32935-8659
(321) 242-7648
(321) 242-7708
Mailing address
185 BARTON BLVD, SUITE C, ROCKLEDGE, FL 32955-2703
(321) 632-4663
(321) 632-6090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1911
FL
Other
Enumeration date
07/22/2011
Last updated
12/22/2011
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