Organization

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

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