| Irmc Physician Network-family Practice | |
|
1960 Pointe West Dr Suite 102 Vero Beach FL 32966-1302 | |
| (772) 567-4311 | |
| Not Available |
| Full Name | Irmc Physician Network-family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1960 Pointe West Dr, Vero Beach, Florida |
| Authorized Official Name and Position | Jeffrey L Susi (PRESIDENT/CEO) |
| Authorized Official Contact | 7725674311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irmc Physician Network-family Practice 1000 36th St Vero Beach FL 32960-4862 Ph: (772) 567-4311 | Irmc Physician Network-family Practice 1960 Pointe West Dr Suite 102 Vero Beach FL 32966-1302 Ph: (772) 567-4311 |
| NPI Number | 1376850560 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 09/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376850560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME103803 (Florida) | Primary |
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