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Organization

INDIAN RIVER HEALTH SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization

Contact information

Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Mailing address
6801 BRECKSVILLE RD, STE 20 ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062
(216) 636-4969
(216) 636-5956

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207RB0002X
Obesity Medicine (Internal Medicine) Physician
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
208D00000X
General Practice Physician
261Q00000X
Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
03/03/2020
Last updated
08/08/2025
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