# BREVARD HMA HME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wuesthoff Home Medical Equipment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669750873
- **Authorized official:** TIMOTHY R PARRY (SENIOR VICE PRESIDENT/GENERAL COUNS)
- **Authorized official phone:** (239) 598-3131

## Contact information

- **Practice address:** 401 N WICKHAM RD, SUITE K, MELBOURNE, FL 32935-8659
- **Practice address phone:** (321) 242-7648
- **Practice address fax:** (321) 242-7708
- **Mailing address:** 185 BARTON BLVD, SUITE C, ROCKLEDGE, FL 32955-2703
- **Mailing address phone:** (321) 632-4663
- **Mailing address fax:** (321) 632-6090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1911 | FL | Yes |

## Other

- **Enumeration date:** 07/22/2011
- **Last updated:** 12/22/2011