Organization
INDIAN RIVER HEALTH SERVICES INC
Active
Other names
Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L SUSI (CEO)
(772) 567-4311
Entity
Organization
Contact information
Practice address
1190 37TH ST, VERO BEACH, FL 32960-6507
(772) 567-4311
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275383902
—
FL
01
—
39813A
BLUE CROSS
FL
Enumeration date
05/26/2006
Last updated
09/16/2019
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