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INDIAN RIVER HEALTH SERVICES INC NPI 1689112765


NPI Information

NPI: 1689112765
Provider Name: INDIAN RIVER HEALTH SERVICES INC

Doing Business As: PREMIER WOMENS HEALTH

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
3450 11TH CT
SUITE 304
VERO BEACH, FL
ZIP 32960
Phone: (772) 770-6801
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INDIAN RIVER HEALTH SERVICES INC is a gynecology obstetrics gynecology in Vero Beach, FL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee INDIAN RIVER HEALTH SERVICES INC NPI is 1689112765. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Premier Womens Health.

The provider's business location address is:

3450 11TH CT
SUITE 304
VERO BEACH, FL
ZIP 32960-012
Phone: (772) 770-6801
Fax: (772) 770-6802

The provider's authorized official is Jeffrey L Susi .
The authorized official title is Ceo and has the following contact phone number (772) 567-4311.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 9/16/2019.


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
1207VG0400XObstetrics & GynecologyGynecology4029FLORIDAYes

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: 5/5/2024

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