Indian River Medical Office PA
NPI #1467840710 in Titusville, Florida
Provider Information
- NPI Number
- 1467840710
- Entity Type
- Organization
- Organization Name
- Indian River Medical Office PA
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 8, 2015
- Last Updated
- Jan 8, 2015
Practice Location
- Address
- 3300 DAIRY RD
- City
- Titusville
- State
- Florida
- ZIP Code
- 32796-1512
- Phone
- (321) 269-6530
Authorized Official
- Name
- MS. SHERRY RILEY, ARNP
- Title
- ADMINISTRATOR
- Phone
- (321) 269-6530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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