| Indian River Health Services Inc | |
|
1155 35th Ln Suite 201 Vero Beach FL 32960-6521 | |
| (772) 794-3364 | |
| Not Available |
| Full Name | Indian River Health Services Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1155 35th Ln, Vero Beach, Florida |
| Authorized Official Name and Position | Jeffrey L Susi (CEO) |
| Authorized Official Contact | 7725674311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian River Health Services Inc 1000 36th St Vero Beach FL 32960-4862 Ph: () - | Indian River Health Services Inc 1155 35th Ln Suite 201 Vero Beach FL 32960-6521 Ph: (772) 794-3364 |
| NPI Number | 1124074455 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 09/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124074455 | NPI | - | NPPES |
| 275383901 | Medicaid | FL | |
| 39813C | Other | FL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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