Indian River Assisting Services Pa in Vero Beach - Surgical

Indian River Assisting Services Pa - NPI 1093873226

Indian River Assisting Services Pa is a Surgical in Vero Beach, Florida. Indian River Assisting Services Pa practices all healthcare services and medical treatments related to Surgical. The NPI Number for Indian River Assisting Services Pa is 1093873226. The last update date is 2007-10-04.

Indian River Assisting Services Pa's current location address is 1000 36th St, Vero Beach, Florida. You can contact this provider via phone number 7727137231. The mailing address for Indian River Assisting Services Pa is 1000 36th St, Vero Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Indian River Assisting Services Pa
Address 1000 36th St, Vero Beach, Florida
Phone Number 7727137231
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Brister Smith Trent
Credentials PA
Telephone Number 7727137231

NPI Number Detail

NPI Number 1093873226
Provider Enumeration Date 2006-12-04
Last Updated Date 2007-10-04

Provider Mailing Address Detail

Address 1000 36th St
City Vero Beach
State Florida (FL)
Post Code 329604862
Phone Number 7727137231
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA3641
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DD8238 FL RAILROAD

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FAQs about Indian River Assisting Services Pa

What is the unique provider identifier assigned to Indian River Assisting Services Pa?

The Indian River Assisting Services Pa has been issued the NPI (National Provider Identifier) 1093873226 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Indian River Assisting Services Pa is located?

The Indian River Assisting Services Pa is situated at the following address: 1000 36Th St, Vero Beach, FL, 329604862.

What is Indian River Assisting Services Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Indian River Assisting Services Pa's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1093873226 to Indian River Assisting Services Pa?

The Indian River Assisting Services Pa received its 1093873226 assignment from the Centers for Medicare & Medicaid Services on 2006-12-04.

As of what date were the details related to Indian River Assisting Services Pa most recently updated or revised?

The information pertaining to Indian River Assisting Services Pa, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-04.

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