MEDICARE: WUESTHOFF BREVARD CARDIOLOGY GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1891719399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WUESTHOFF BREVARD CARDIOLOGY GROUP

Provider Business Mailing Address
First Line	:	150 N SYKES CREEK PKWY
Second Line	:	STE 300
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32953-3488
Country	:	US
Telephone Number	:	321-449-4168
Fax Number	:	321-449-4164

Provider Business Practice Location Address
First Line	:	150 N SYKES CREEK PKWY
Second Line	:	STE 300
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32953-3488
Country	:	US
Telephone Number	:	321-449-4168
Fax Number	:	321-449-4164

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	GEORGE FAYER
Credential	:
Telephone Number	:	321-636-2211

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	11/12/2008

Similar Medicare Providers

1912077744 — MRS. DIANE MARIE REID-VAN ASDALE OTR/L, CHT
Practice Location Address:

150 N SYKES CREEK PKWY STE 103
MERRITT ISLAND, FL
32953-3488

Practice Phone: 321-459-0303
Practice Fax:

1477533784 — KELLY A MURPHY ARNP
Practice Location Address:

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

Practice Phone: 321-431-8143
Practice Fax: 321-454-4026

1871562140 — SELECT PHYSICAL THERAPY HOLDINGS INC
Practice Location Address:

150 N SYKES CREEK PKWY , STE 103
MERRITT ISLAND, FL
32953-3488

Practice Phone: 321-459-0303
Practice Fax:

1104881044 — JAVIER J SOTO M.D.
Practice Location Address:

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

Practice Phone: 321-459-1192
Practice Fax: 321-459-2304

1275560716 — BREVARD CARDIOLOGY PHYSICIANS PA
Practice Location Address:

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

Practice Phone: 321-452-3811
Practice Fax: 321-449-4573

1245248871 — SHAWN MARIE DAGUE ARNP, CNM
Practice Location Address:

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

Practice Phone: 321-459-1192
Practice Fax: 321-459-2304

Directions to “WUESTHOFF BREVARD CARDIOLOGY GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.