| Irma Family Practice North | |
|
801 Wellness Way Suite 109 Sebastian FL 32958-3783 | |
| (772) 567-4311 | |
| (772) 794-1450 |
| Full Name | Irma Family Practice North |
|---|---|
| Speciality | Family Medicine |
| Location | 801 Wellness Way, Sebastian, Florida |
| Authorized Official Name and Position | Jeffrey L Susi (PRESIDENT/CEO) |
| Authorized Official Contact | 7725674311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irma Family Practice North 1000 36th St Vero Beach FL 32960-4862 Ph: (772) 567-4311 | Irma Family Practice North 801 Wellness Way Suite 109 Sebastian FL 32958-3783 Ph: (772) 567-4311 |
| NPI Number | 1700173010 |
|---|---|
| Provider Enumeration Date | 07/07/2011 |
| Last Update Date | 07/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700173010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME110076 (Florida) | Primary |
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