Organization
INDIAN RIVER COORDINATORS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENNISE KING (PRESIDENT)
(772) 567-3568
Entity
Organization
Contact information
Practice address
320 21ST CT SW, VERO BEACH, FL 32962-3368
(772) 567-3568
(772) 562-9720
Mailing address
328 NW SHORELINE CIR, PORT ST LUCIE, FL 34986-2913
(772) 626-8503
(772) 343-1959
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F650797320001
—
FL
Enumeration date
01/15/2007
Last updated
08/22/2020
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