INDIAN RIVER HEALTH SERVICES INC NPI 1376850560

NPI Information

  • NPI: 1376850560
  • Provider Name: INDIAN RIVER HEALTH SERVICES INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: IRMC PHYSICIAN NETWORK-FAMILY PRACTICE
  • CLIA Number: 10D1009122
  • Address: 1960 POINTE WEST DR
    SUITE 102
    VERO BEACH, FL
    ZIP 32966
  • Phone: (772) 567-4311

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NPI Details

INDIAN RIVER HEALTH SERVICES INC is a family medicine in Vero Beach, 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 1376850560. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Irmc Physician Network-family Practice.

The provider's business location address is:

1960 POINTE WEST DR
SUITE 102
VERO BEACH, FL
ZIP 32966-302
Phone: (772) 567-4311

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 CLIA number assigned to this NPI record is 10D1009122 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/9/2010 and was last updated on 9/9/2010.

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 MedicineME103803FLORIDAYes

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: 3/30/2025

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