INDIAN RIVER MEDICAL OFFICE PA

TITUSVILLE, FL
NPI1467840710
Entity TypeOrganization
Authorized ContactSHERRY RILEY
Administrator
321-269-6530
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  1189412)
Enumeration Date2015-01-08
Last Update Date2015-01-08
Business Address
INDIAN RIVER MEDICAL OFFICE PA
3300 DAIRY RD
TITUSVILLE, FL 32796-1512
Phone number: 321-269-6530
Mailing Address
INDIAN RIVER MEDICAL OFFICE PA
3300 DAIRY RD
TITUSVILLE, FL 32796-1512
Phone number: 321-269-6530
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