Indian River Paradise LLC
NPI #1164192316 in Merritt Island, Florida
Provider Information
- NPI Number
- 1164192316
- Entity Type
- Organization
- Organization Name
- Indian River Paradise LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 19, 2021
- Last Updated
- Sep 19, 2021
Practice Location
- Address
- 1275 N BANANA RIVER DR
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32952-5757
- Phone
- (914) 373-8098
Authorized Official
- Name
- MOSTAFA S HASSAN, MD
- Title
- PRESIDENT
- Phone
- (914) 373-8098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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