Organization
BREVARD HMA HME, LLC
Active
Other names
Wuesthoff Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3131
Entity
Organization
Contact information
Practice address
185 BARTON BLVD, SUITE C, ROCKLEDGE, FL 32955-2703
(321) 632-4663
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
127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951695600
—
FL
Enumeration date
07/19/2006
Last updated
12/22/2011
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