# ANTHONY WARE ORTHOPAEDICS INC

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

## Provider details

- **NPI number:** 1760635429
- **Authorized official:** SANDI LAROCHE (MSO CREDENTIALING COORDINATOR)
- **Authorized official phone:** (321) 449-4168

## Contact information

- **Practice address:** 1160 BROADBAND DR, SUITE F1, MELBOURNE, FL 32901-2623
- **Practice address phone:** (321) 255-9310
- **Practice address fax:** (321) 752-5218
- **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 | ME0076509 | FL | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 08/06/2010