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Organization

ROCKLEDGE HMA, LLC

Active
Other names
Wuesthoff Medical Center - Rockledge
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization

Contact information

Practice address
110 LONGWOOD AVE, ROCKLEDGE, FL 32955-2828
(321) 636-2211
(321) 690-6645
Mailing address
110 LONGWOOD AVE, ROCKLEDGE, FL 32955-2828
(321) 636-2211
(321) 690-6645

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
282N00000X
General Acute Care Hospital
Primary
4132
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010011100
FL
Enumeration date
09/13/2005
Last updated
01/29/2014
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