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Organization

INDIAN RIVER VOLUNTEERS IN MEDICINE

Active
Other names
Space Coast Volunteers in Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEE ALLEN STOECKERT (IT DIRECTOR)
(321) 639-5813
Entity
Organization

Contact information

Practice address
2555 JUDGE FRAN JAMIESON WAY, VIERA, FL 32940-5998
(321) 639-5813
(321) 637-7512
Mailing address
2555 JUDGE FRAN JAMIESON WAY, VIERA, FL 32940-5998
(321) 639-5813
(321) 637-7512

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
05/22/2012
Last updated
01/31/2024
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