Healthcare Provider Details
I. General information
NPI: 1164163366
Provider Name (Legal Business Name): IR HEALTH CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/05/2022
Last Update Date: 05/17/2024
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1880 37TH ST STE 1
VERO BEACH FL
32960-6594
US
IV. Provider business mailing address
1880 37TH ST STE 1
VERO BEACH FL
32960-6594
US
V. Phone/Fax
- Phone: 772-978-7001
- Fax: 772-365-2779
- Phone: 772-492-9677
- Fax: 772-999-5698
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RYAN
DENNISON
HESS
Title or Position: MEMBER
Credential: DC
Phone: 772-492-9677