Indian River Health Services Inc
Family Medicine Physician in Vero Beach, FL(View on Map)
Legal Business Name
Indian River Health Services Inc
NPI Number
1740227867
NPI Type
Organization
Enumeration Date
05/31/2006
Specialties
(Taxonomies)Code
207Q00000X
363LF0000X
208M00000X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
1000 36TH ST
1000 36TH ST
City
Vero Beach
Vero Beach
State
FL
FL
Postal Code
32960-4862
32960-4862
Country
US
US
Telephone Number
N/A
(772) 567-4311
Authorized Official
Name
Jeffrey Susi
Title or Position
CEO
Telephone Number
(772) 567-4311
Identifiers
Identifier
39813
275383900
Identifier State
FL
FL
Identifier Issuer
BLUE CROSS
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/16/2019
Provider Address
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