INDIAN RIVER VOLUNTEERS IN MEDICINE NPI 1467712695

NPI Information

INDIAN RIVER VOLUNTEERS IN MEDICINE is a primary care clinic center in Viera, FL. INDIAN RIVER VOLUNTEERS IN MEDICINE NPI is 1467712695. The provider is registered as an organization entity type.
The provider Is Doing Business As Space Coast Volunteers In Medicine.

The provider's business location address is:

2555 JUDGE FRAN JAMIESON WAY
VIERA, FL
ZIP 32940-998
Phone: (321) 639-5813
Fax: (321) 637-7512

The provider's authorized official is Lee Allen Stoeckert .
The authorized official title is It Director and has the following contact phone number (321) 639-5813.

The enumeration date for this NPI number is 5/22/2012 and was last updated on 1/31/2024.

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:

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