Organization
INDIAN RIVER NEUROSURGICAL SOLUTIONS LLC
Active
Organization
INDIAN RIVER NEUROSURGICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEANE M. WAKULA (OFFICE MANAGER)
(772) 263-1642
Entity
Organization
Contact information
Practice address
1300 36TH ST STE 1A, VERO BEACH, FL 32960-4898
(772) 546-9591
Mailing address
9044 SE BRIDGE RD, HOBE SOUND, FL 33455-5313
(772) 546-9591
(772) 546-9535
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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