Indian River Urology Associates PA

NPI #1164610895 in Vero Beach, Florida

Provider Information

NPI Number: 1164610895
Entity Type: Organization
Organization Name: Indian River Urology Associates PA
Primary Specialty: Urology
Enumeration Date: Oct 9, 2007
Last Updated: Mar 1, 2008

Practice Location

Address: 787 37TH ST
Address 2: SUITE E200
City: Vero Beach
State: Florida
ZIP Code: 32960-7305
Phone: (772) 567-3003

Authorized Official

Name: MARC CARLTON ROSE, M.D.
Title: PRESIDENT
Phone: (772) 567-3003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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