# THORACIC SURGERY OF INDIAN RIVER LLC

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

## Provider details

- **NPI number:** 1467628156
- **Authorized official:** DR. PETER A SEIRAFI M.D. (MANAGING MEMBER)
- **Authorized official phone:** (772) 589-2009

## Contact information

- **Practice address:** 14430 US HIGHWAY 1, SUITE 102, SEBASTIAN, FL 32958-3289
- **Practice address phone:** (772) 589-2009
- **Practice address fax:** (772) 589-2299
- **Mailing address:** 14430 US HIGHWAY 1, SUITE 102, SEBASTIAN, FL 32958-3289
- **Mailing address phone:** (772) 589-2009
- **Mailing address fax:** (772) 589-2299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME80733 | FL | Yes |

## Other

- **Enumeration date:** 05/02/2008
- **Last updated:** 05/21/2009