Organization
INDIAN RIVER SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK PAUL M.D. (PARTNER)
(772) 569-5660
Entity
Organization
Contact information
Practice address
3735 11TH CIR STE 101, VERO BEACH, FL 32960-4884
(772) 569-5660
(772) 569-4343
Mailing address
3735 11TH CIR STE 101, VERO BEACH, FL 32960-4884
(772) 569-5660
(772) 569-4343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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