Organization
WUESTHOFF MEMORIAL HOSPITAL INC
Active
Parent organization
WUESTHOFF MEMORIAL HOSPITAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WUESTHOFF MEMORIAL HOSPITAL INC
Authorized official
MR. GEORGE FAYER (SVP CFO)
(321) 636-2211
Entity
Organization
Contact information
Practice address
110 LONGWOOD AVE, MAIL STOP #24, ROCKLEDGE, FL 32955-2828
(321) 636-2211
Mailing address
110 LONGWOOD AVE, MAIL STOP #24, ROCKLEDGE, FL 32955-2828
(321) 636-2211
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271959200
—
FL
Enumeration date
07/03/2008
Last updated
07/03/2008
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