Individual
JOSEPH A WASSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 N WICKHAM RD STE 311, MELBOURNE, FL 32935-8661
(321) 752-1660
(321) 752-1551
Mailing address
240 N WICKHAM RD STE 311, MELBOURNE, FL 32935-8661
(321) 752-1660
(321) 752-1551
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME54118
FL
2086S0129X
Vascular Surgery Physician
Primary
ME54118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023773000
—
FL
Enumeration date
04/18/2006
Last updated
06/13/2025
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