| NPI | 1932372679 |
|---|---|
| Former Legal Business Name | INDIAN RIVER SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ROBERT B WARD Owner 772-569-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME0026613) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-09-26 |