Indian River Assisting Services Pa

NPI 1093873226 - Physician Assistant - 363AS0400X

NPI Details
NPI 1093873226
Enumeration Date 12/04/2006
Last Updated 10/04/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name TRENT SMITH TRENT
Position PRESIDENT
Phone (772) 713-7231
Fax
Practice Location
1000 36TH ST
VERO BEACH FL, 32960-4862, US
Phone (772) 713-7231
Fax
Business Location
PO BOX 643264
VERO BEACH FL, 32964-3264, US
Phone
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Florida
License Number PA3641
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According to our database, Indian River Assisting Services Pa NPI is 1093873226, taxonomy code is 363AS0400X and license number is PA3641, license state is located at Florida. Indian River Assisting Services Pa physically located at 1000 36th St, Vero Beach FL, 32960-4862. NPI Number 1033115704 has the healthcare provider type.

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1093873226 NPI number is provided on an as is basis without warranty of any kind. 1093873226 is maintained by the National Plan & Provider Enumeration System. The contents of Indian River Assisting Services Pa are for informational purposes only.