Organization
WUESTHOFF EMERGENCY PHYSICIANS-MELBOURNE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURRIN NICHOL MD (MEDICAL DIRECTOR)
(800) 476-8646
Entity
Organization
Contact information
Practice address
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(800) 476-8646
(919) 382-3210
Mailing address
PO BOX 552205, TAMPA, FL 33655-0001
(800) 476-8646
(919) 382-3210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265664700
—
FL
01
—
34457
BCBS
FL
Enumeration date
06/01/2005
Last updated
07/21/2022
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