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Organization
INDIAN RIVER MEDICAL CENTER LLC
Active
Organization
INDIAN RIVER MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN ANDREW KOVATS DO (OWNER)
(208) 920-0932
Entity
Organization
Contact information
Practice address
3821 WOODBRIAR TRL STE 6, PORT ORANGE, FL 32129-9611
(386) 333-6158
(386) 333-6158
Mailing address
3821 WOODBRIAR TRL STE 106, PORT ORANGE, FL 32129-9615
(386) 333-6158
(386) 333-6158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376042134
APRN
FL
Enumeration date
10/15/2024
Last updated
08/13/2026
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