INDIAN RIVER HEALTH SERVICES INC
Urology at 11 Cir, Vero Beach, FL

License number
Florida ME0067894
Category
Radiology
Type
Urology
Owner
Name: JEFFREY L SUSI
Title: CEO
Phone: (772) 567-4311
Address
Address
3745 11Th Cir SUITE 103, Vero Beach, FL 32960
National Provider ID: 1376864108
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Indian River Health Services Corporation

1000 36 St, Vero Beach, FL 32960

Registration:
Apr 29, 1986
State ID:
N14650
Business type:
Domestic Non Profit Corporation
President, Secretary, Vice Presidents:
Jeffrey L. Susi (President),Gregory Gardner (Secretary, Vice President),Thomas Segura (Chairman),...

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