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Organization
INDIAN RIVER HEALTH SERVICES INC
Active
Organization
INDIAN RIVER HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS L LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Mailing address
6801 BRECKSVILLE RD, STE 20 ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062
(216) 636-4969
(216) 636-6063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275383900
—
FL
01
—
39813
BLUE CROSS
FL
Enumeration date
05/31/2006
Last updated
08/08/2025
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