| Indian River Medical Center | |
|
2568 S Ridgewood Ave Edgewater FL 32141-5980 | |
| (208) 920-0932 | |
| Not Available |
| Full Name | Indian River Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 2568 S Ridgewood Ave, Edgewater, Florida |
| Authorized Official Name and Position | Christian Andrew Kovats (OWNER) |
| Authorized Official Contact | 2089200932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian River Medical Center 2568 S Ridgewood Ave Edgewater FL 32141-5980 Ph: (208) 920-0932 | Indian River Medical Center 2568 S Ridgewood Ave Edgewater FL 32141-5980 Ph: (208) 920-0932 |
| NPI Number | 1841010816 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841010816 | NPI | - | NPPES |
| 1376042134 | Other | FL | APRN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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