Indian River Medical Office Pa in Titusville - Specialist
Indian River Medical Office Pa - NPI 1245220557
Indian River Medical Office Pa is a Specialist in Titusville, Florida. Indian River Medical Office Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Indian River Medical Office Pa is 1245220557. The last update date is 2011-03-03.
Indian River Medical Office Pa's current location address is 3300 Dairy Rd, Titusville, Florida. You can contact this provider via phone number 3212696530 and fax number 3212692334. The mailing address for Indian River Medical Office Pa is 3300 Dairy Rd, Titusville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indian River Medical Office Pa |
|---|---|
| Address | 3300 Dairy Rd, Titusville, Florida |
| Phone Number | 3212696530 |
| Fax Number | 3212692334 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Whittamore D Jill |
| Credentials | CMM CPC |
| Telephone Number | 3212676687 |
NPI Number Detail
| NPI Number | 1245220557 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2011-03-03 |
Provider Mailing Address Detail
| Address | 3300 Dairy Rd |
|---|---|
| City | Titusville |
| State | Florida (FL) |
| Post Code | 327961512 |
| Phone Number | 3212696530 |
| Fax Number | 3212692334 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 250742100 | FL | -- | |
| 40745 | FL | BCBS FL |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Indian River Medical Office Pa by the Centers for Medicare & Medicaid Services?
The Indian River Medical Office Pa has been issued the NPI (National Provider Identifier) 1245220557 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Indian River Medical Office Pa's facilities are geographically located?
The facilities of Indian River Medical Office Pa are physically situated at the following location: 3300 Dairy Rd, Titusville, FL, 327961512.
What is Indian River Medical Office Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Indian River Medical Office Pa is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did Indian River Medical Office Pa receive its 1245220557 assignment from the Centers for Medicare & Medicaid Services?
The Indian River Medical Office Pa was assigned its 1245220557 on 2005-10-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Indian River Medical Office Pa most recently updated or refreshed?
The details pertaining to the Indian River Medical Office Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-03-03.