Organization
CARITAS WOMANCARE INC
Active
Parent organization
WUESTHOFF FAMILY PHYSICIANS INC
Other names
CARITAS WOMANCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
WUESTHOFF FAMILY PHYSICIANS INC
Authorized official
SANDI LAROCHE (MSO CREDENTIALING COORDINATOR)
(321) 449-4168
Entity
Organization
Contact information
Practice address
240 N WICKHAM RD, STE 104, MELBOURNE, FL 32935-8662
(321) 242-1325
(321) 242-1870
Mailing address
150 N SYKES CREEK PKWY, SUITE 300, MERRITT ISLAND, FL 32953-3488
(321) 449-4168
(321) 449-4164
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0075697
FL
Other
Enumeration date
06/11/2007
Last updated
03/23/2010
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