Organization
INDIAN RIVER HEALTH SERVICES INC
Active
Other names
IRMC Physicians Network-UR
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L SUSI (CEO)
(772) 567-4311
Entity
Organization
Contact information
Practice address
3745 11TH CIRCLE, SUITE 103, VERO BEACH, FL 32960
(772) 794-9771
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0067894
FL
Other
Enumeration date
06/16/2010
Last updated
06/30/2010
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