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Indian River Medical Office Pa
Specialist in Titusville, Florida
NPI 1245220557

Indian River Medical Office Pa is a Specialist based in Titusville, FL. Indian River Medical Office Pa practices in Titusville, FL. The NPI Number for Indian River Medical Office Pa is 1245220557 and holds a License No. (Florida).

The current practice location address for Indian River Medical Office Pa is 3300 Dairy Rd, Titusville, FL and can be reached out via phone at 321-269-6530 and via fax at 321-269-2334.

Location: 3300 Dairy Rd, Titusville, FL, 32796-1512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245220557
Provider Name
Indian River Medical Office Pa
Credential
Provider Entity Type
Organization
Address
3300 Dairy Rd, Titusville, FL, 32796-1512
Phone Number
321-269-6530
Fax Number
321-269-2334
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
250742100 05 FL
40745 01 FL BCBS FL
institution
Provider Business Practice Location Address Details
Address
3300 Dairy Rd
City
Titusville
State
Florida
Zip
32796-1512
Phone Number
321-269-6530
Fax Number
321-269-2334
person
Provider Business Mailing Address Details
Address
3300 Dairy Rd
City
Titusville
State
Florida
Zip
32796-1512
Phone Number
321-269-6530
Fax Number
321-269-2334
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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