# INDIAN RIVER MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Partners In Women's Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801855069
- **Authorized official:** JEFFREY L SUSI (CEO/PRESIDENT)
- **Authorized official phone:** (772) 567-4311

## Contact information

- **Practice address:** 787 37TH ST, SUITE E-170, VERO BEACH, FL 32960-7305
- **Practice address phone:** (772) 770-6116
- **Practice address fax:** (772) 564-6120
- **Mailing address:** 1000 36TH ST, VERO BEACH, FL 32960-4862
- **Mailing address phone:** (772) 567-4311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4029 | FL | Yes |
| 367A00000X | Advanced Practice Midwife | 4029 | FL | — |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 02/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 21923 | BLUE CROSS | FL |