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Organization

ORTHOPAEDIC ASSOCIATES OF BREVARD LLC

Active
Parent organization
WUESTHOFF FAMILY PHYSICIANS INC
Other names
Orthopaedic Associates of Brevard
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
1344 S APOLLO BLVD, # 302, MELBOURNE, FL 32901-3183
(321) 309-2884
(321) 309-2807
Mailing address
150 N SYKES CREEK PKWY, # 300, MERRITT ISLAND, FL 32953-3488
(321) 449-4168
(321) 449-4164

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME93258
FL

Other

Enumeration date
10/20/2009
Last updated
10/20/2009
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