Indian River Medical Office Pa

NPI 1245220557 - Specialist - 174400000X

NPI Details
NPI 1245220557
Enumeration Date 10/27/2005
Last Updated 03/03/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JILL D JILL
Position ADMINISTRATOR
Phone (321) 269-6530
Fax (321) 269-2334
Practice Location
3300 DAIRY RD
TITUSVILLE FL, 32796-1512, US
Phone (321) 269-6530
Fax (321) 269-2334
Business Location
3300 DAIRY RD
TITUSVILLE FL, 32796-1512, US
Phone (321) 269-6530
Fax (321) 269-2334
Toxanomy
Taxonomy Code 174400000X
License State
License Number
Remove 1245220557 NPI Number
 

According to our database, Indian River Medical Office Pa NPI is 1245220557, taxonomy code is 174400000X Indian River Medical Office Pa physically located at 3300 Dairy Rd, Titusville FL, 32796-1512. NPI Number 1033115704 has the healthcare provider type.

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1245220557 NPI number is provided on an as is basis without warranty of any kind. 1245220557 is maintained by the National Plan & Provider Enumeration System. The contents of Indian River Medical Office Pa are for informational purposes only.