Cardiac Surgery Group

LBN: Indian River Health Services Inc
Cardiac Surgery Group is an health care organization with primary practice located at 1040 37Th Pl Suite 101, Vero Beach FL 32960-4806. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Indian River Health Services Inc can be contacted via phone (772) 563-4580, or through Susi, Jeffrey L via phone (772) 567-4311.

Contact Information

Primary practice address
1040 37Th Pl Suite 101 Vero Beach FL 32960-4806
Phone: (772) 563-4580
Fax: (772) 563-4690
Website:
Map and Directions
Authorized official contact:
Name: Susi, Jeffrey L
Phone: (772) 567-4311

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1720194160
LBN Legal business name Indian River Health Services Inc
DBA Doing business as Cardiac Surgery Group
Authorized official Susi, Jeffrey L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Jan 10th, 2019 - about 5 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 1720194160 NPPES
Florida Other 39813D BLUE CROSS
Florida MEDICAID 275383904 BLUE CROSS

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