Healthcare Provider Details

I. General information

NPI: 1962544718
Provider Name (Legal Business Name): WUESTHOFF HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8060 SPYGLASS HILL RD
MELBOURNE FL
32940-7983
US

IV. Provider business mailing address

150 N SYKES CREEK PKWY STE 300
MERRITT ISLAND FL
32953-3488
US

V. Phone/Fax

Practice location:
  • Phone: 321-253-2222
  • Fax:
Mailing address:
  • Phone: 321-449-4537
  • Fax: 321-449-4573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. EMIL P MILLER
Title or Position: PRESIDENT
Credential:
Phone: 321-636-2211