Indian River Memorial Hospital INC

NPI #1497714380 in Vero Beach, Florida

Provider Information

NPI Number: 1497714380
Entity Type: Organization
Organization Name: Indian River Memorial Hospital INC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 21, 2006
Last Updated: Feb 23, 2022

Practice Location

Address: 1000 36TH ST
City: Vero Beach
State: Florida
ZIP Code: 32960-4862
Phone: (772) 567-4311

Authorized Official

Name: TIM LONGVILLE
Title: CHIEF ACCOUNTING OFFICER AND CONTRO
Phone: (216) 636-7416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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