Organization
INDIAN RIVER HEALTH SERVICES INC
Active
Other names
IRHS-Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L SUSI (CEO)
(772) 567-4311
Entity
Organization
Contact information
Practice address
998 35TH LANE, 1ST FLOOR, VERO BEACH, FL 32960-4862
(772) 563-4673
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 563-4673
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39813
BCBSFL
FL
Enumeration date
04/21/2016
Last updated
09/16/2019
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