Organization
BREVARD HMA DIAGNOSTIC IMAGING LLC
Active
Organization
BREVARD HMA DIAGNOSTIC IMAGING LLC
Active
Other names
Wuesthoff X-ray and Lab
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
7970 N WICKHAM RD, MELBOURNE, FL 32940-8299
(321) 255-7711
(321) 255-7734
Mailing address
7970 N WICKHAM RD, MELBOURNE, FL 32940-8299
(321) 255-7711
(321) 255-7734
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
HCC3598
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051814000
—
FL
Enumeration date
03/05/2007
Last updated
09/20/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up