| Indian River Medical Center Llc | |
|
3821 Woodbriar Trl Ste 6 Port Orange FL 32129-9611 | |
| (386) 333-6158 | |
| (386) 333-6158 |
| Full Name | Indian River Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3821 Woodbriar Trl Ste 6, Port Orange, Florida |
| Authorized Official Name and Position | Christian Andrew Kovats (OWNER) |
| Authorized Official Contact | 2089200932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian River Medical Center Llc 2568 S Ridgewood Ave Edgewater FL 32141-5980 Ph: (208) 920-0932 | Indian River Medical Center Llc 3821 Woodbriar Trl Ste 6 Port Orange FL 32129-9611 Ph: (386) 333-6158 |
| NPI Number | 1841010816 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 03/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841010816 | NPI | - | NPPES |
| 1376042134 | Other | FL | APRN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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