Organization
INDIAN RIVER MEMORIAL HOSPITAL INC
Active
Other names
Partners In Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L SUSI (CEO/PRESIDENT)
(772) 567-4311
Entity
Organization
Contact information
Practice address
787 37TH ST, SUITE E-170, VERO BEACH, FL 32960-7305
(772) 770-6116
(772) 564-6120
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4029
FL
367A00000X
Advanced Practice Midwife
4029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21923
BLUE CROSS
FL
Enumeration date
03/17/2006
Last updated
02/20/2008
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