Organization
MELBOURNE HMA, LLC
Active
Other names
Wuesthoff Medical Center - Melbourne
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(321) 752-1200
Mailing address
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(321) 752-1200
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010320900
—
FL
Enumeration date
09/14/2005
Last updated
01/29/2014
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