# INDIAN RIVER ASSISTING SERVICES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093873226
- **Authorized official:** TRENT SMITH BRISTER PA (PRESIDENT)
- **Authorized official phone:** (772) 713-7231

## Contact information

- **Practice address:** 1000 36TH ST, VERO BEACH, FL 32960-4862
- **Practice address phone:** (772) 713-7231
- **Mailing address:** PO BOX 643264, VERO BEACH, FL 32964-3264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA3641 | FL | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 10/04/2007
