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Organization

INDIAN RIVER SURGICAL SERVICE CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN ALFRED LAMBERT PA-C (PRESIDENT)
(772) 480-1122
Entity
Organization

Contact information

Practice address
1355 20TH AVE, VERO BEACH, FL 32960-3784
(772) 480-1122
Mailing address
1355 20TH AVE, VERO BEACH, FL 32960-3784
(772) 480-1122

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE7995
RR MEDICARE
FL
01
X1623
BLUE CROSS
FL
Enumeration date
05/04/2006
Last updated
05/13/2021
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