Organization
INDIAN RIVER SURGICAL SERVICE CORP.
Active
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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