Organization
BREVARD COUNTY ORTHOPEDIC & SPINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEANE WAKULA (OFFICE MANAGER)
(772) 546-9591
Entity
Organization
Contact information
Practice address
2090 SARNO RD, MELBOURNE, FL 32935-3077
(321) 608-8888
Mailing address
8929 SE BRIDGE RD, HOBE SOUND, FL 33455-5312
(772) 546-9591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS12542
FL
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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