Vero Internal Medicine | |
1155 35th Ln Suite 201 Vero Beach FL 32960-6521 | |
(772) 794-3364 | |
Not Available |
Full Name | Vero Internal Medicine |
---|---|
Speciality | Internal Medicine |
Location | 1155 35th Ln, Vero Beach, Florida |
Authorized Official Name and Position | Jeffrey L Susi (CEO) |
Authorized Official Contact | 7725674311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vero Internal Medicine 1000 36th St Vero Beach FL 32960-4862 Ph: () - | Vero Internal Medicine 1155 35th Ln Suite 201 Vero Beach FL 32960-6521 Ph: (772) 794-3364 |
NPI Number | 1124074455 |
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Provider Enumeration Date | 05/26/2006 |
Last Update Date | 09/16/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124074455 | NPI | - | NPPES |
275383901 | Medicaid | FL | |
39813C | Other | FL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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