Indian River Health Services INC
Obstetrics & Gynecology, Gynecology in Vero Beach, FL. Organization (NPI-2).
NPI number1689112765
StatusActive
Last updated in NPPESSep 16, 2019
Details
- NPI
- 1689112765
- Entity type
- Organization (NPI-2)
- Legal business name
- Indian River Health Services INC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2017
- Last updated
- Sep 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 4029 | FL | Yes |
Other names
- Premier Womens Health (Doing Business As)
Practice location
3450 11th CtSuite 304
Vero Beach, FL 32960-5012
Phone 772-770-6801 · Fax 772-770-6802
Mailing address
Po Box 830270Msc #375
Birmingham, AL 35283-0270
Phone 772-567-4311 · Fax 772-794-1450
Authorized official
Jeffrey L Susi
Ceo
7725674311
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