Indian River Pediatrics, Pa

LBN: Indian River Pediatrics, Pa
Indian River Pediatrics, Pa is an health care organization with primary practice located at 840 37Th Pl Ste 1N , Vero Beach FL 32960-6502. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Indian River Pediatrics, Pa can be contacted via phone (772) 978-9000, or through Smith, Nancy R via phone (772) 978-9000.

Contact Information

Primary practice address
840 37Th Pl Ste 1N Vero Beach FL 32960-6502
Phone: (772) 978-9000
Fax: (772) 978-9922
Website:
Map and Directions
Authorized official contact:
Name: Smith, Nancy R
Phone: (772) 978-9000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME78173 Florida

Profile Details

NPI number 1356744155
LBN Legal business name Indian River Pediatrics, Pa
DBA Doing business as
Authorized official Smith, Nancy R
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2014
Last updated Oct 7th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356744155 NPPES
Florida MEDICAID 256588900

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