Organization · NPI-2

Anthony Ware Orthopaedics INC

Orthopaedic Surgery · Melbourne, FL

NPI number1760635429
StatusActive
Last updated in NPPESAug 6, 2010

Details

NPI
1760635429
Entity type
Organization (NPI-2)
Legal business name
Anthony Ware Orthopaedics INC
Organization subpart
No
Enumeration date
Oct 28, 2008
Last updated
Aug 6, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic SurgeryME0076509FLYes

Practice location

1160 Broadband Dr
Suite F1
Melbourne, FL 32901-2623

Phone 321-255-9310 · Fax 321-752-5218

Mailing address

150 N Sykes Creek Pkwy
# 300
Merritt Island, FL 32953-3488

Phone 321-449-4168 · Fax 321-449-4164

Authorized official

Sandi Laroche
Mso Credentialing Coordinator
3214494168

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