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Organization

BREVARD HMA HME, LLC

Active
Other names
Wuesthoff Home Medical Equipment
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY R PARRY (SENIOR VICE PRESIDENT/GENERAL COUNS)
(239) 598-3131
Entity
Organization

Contact information

Practice address
401 N WICKHAM RD, SUITE K, MELBOURNE, FL 32935-8659
(321) 242-7648
(321) 242-7708
Mailing address
185 BARTON BLVD, SUITE C, ROCKLEDGE, FL 32955-2703
(321) 632-4663
(321) 632-6090

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1911
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1911
LICENSE
FL
Enumeration date
07/22/2011
Last updated
12/22/2011
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