Organization
INDIAN RIVER MEDICAL OFFICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRY RILEY ARNP (ADMINISTRATOR)
(321) 269-6530
Entity
Organization
Contact information
Practice address
3300 DAIRY RD, TITUSVILLE, FL 32796-1512
(321) 269-6530
(321) 269-2334
Mailing address
3300 DAIRY RD, TITUSVILLE, FL 32796-1512
(321) 269-6530
(321) 269-2334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1189412
FL
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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