INDIAN RIVER ASSISTING SERVICES PA NPI 1093873226

NPI Information

NPI: 1093873226
Provider Name: INDIAN RIVER ASSISTING SERVICES PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
1000 36TH ST
VERO BEACH, FL
ZIP 32960
Phone: (772) 713-7231
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INDIAN RIVER ASSISTING SERVICES PA is a surgical physician assistant in Vero Beach, FL. INDIAN RIVER ASSISTING SERVICES PA NPI is 1093873226. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 36TH ST
VERO BEACH, FL
ZIP 32960-862
Phone: (772) 713-7231

The provider's authorized official is Trent Smith Brister .
The authorized official title is President and has the following contact phone number (772) 713-7231.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 10/4/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA3641	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DD8238	OTHER	FLORIDA	RAILROAD
2	K8629	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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