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INDIAN RIVER HEALTH SERVICES INC NPI 1700173010


NPI Information

NPI: 1700173010
Provider Name: INDIAN RIVER HEALTH SERVICES INC

Doing Business As: IRMA FAMILY PRACTICE NORTH

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
801 WELLNESS WAY
SUITE 109
SEBASTIAN, FL
ZIP 32958
Phone: (772) 567-4311
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INDIAN RIVER HEALTH SERVICES INC is a family medicine in Sebastian, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INDIAN RIVER HEALTH SERVICES INC NPI is 1700173010. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Irma Family Practice North.

The provider's business location address is:

801 WELLNESS WAY
SUITE 109
SEBASTIAN, FL
ZIP 32958-783
Phone: (772) 567-4311
Fax: (772) 794-1450

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

The enumeration date for this NPI number is 7/7/2011 and was last updated on 7/7/2011.


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
1207Q00000XFamily MedicineME110076FLORIDAYes

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
1AA009MEDICARE PINFLORIDA

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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