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NPI Code Detail

MEDICARE: INDIAN RIVER HEALTH SERVICES INC

MEDICARE: INDIAN RIVER HEALTH SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist
2207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician
3261Q00000XClinic/Center
4207RB0002XObesity Medicine (Internal Medicine) Physician
5207RI0200XInfectious Disease Physician
6208D00000XGeneral Practice Physician
7261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1588298285
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDIAN RIVER HEALTH SERVICES INC
Provider Business Mailing Address
First Line : 6801 BRECKSVILLE RD
Second Line : STE 20 ATTN: DPC RK2-7
City : INDEPENDENCE
State : OH
Zip : 44131-5062
Country : US
Telephone Number : 216-636-4969
Fax Number : 216-636-5956
Provider Business Practice Location Address
First Line : 1000 36TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4862
Country : US
Telephone Number : 772-567-4311
Fax Number :
Authorized Official
Title or Position : EXECUTIVE VP CHIEF FINANCE OFFICER
Name : DENNIS LARAWAY
Credential :
Telephone Number : 216-445-1343
Provider Enumeration Date : 03/03/2020
Last Update Date : 06/12/2026

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Directions to “INDIAN RIVER HEALTH SERVICES INC ” Practice Location

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