Indian River Rehabilitation Medicine Clinic P A

LBN: Indian River Rehabilitation Medicine Clinic P A
Indian River Rehabilitation Medicine Clinic P A is an health care organization with primary practice located at 631 17Th Street , Vero Beach FL 32960-5518. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Indian River Rehabilitation Medicine Clinic P A can be contacted via phone (772) 778-1603, or through Oriaku, Iheonu Usouwa via phone (772) 643-4208.

Contact Information

Primary practice address
631 17Th Street Vero Beach FL 32960-5518
Phone: (772) 778-1603
Fax: (772) 231-8470
Website:
Map and Directions
Authorized official contact:
Name: Oriaku, Iheonu Usouwa Doctor of Medicine (MD)
Phone: (772) 643-4208

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME79198 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME79198 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME79198 Florida

Profile Details

NPI number 1598065732
LBN Legal business name Indian River Rehabilitation Medicine Clinic P A
DBA Doing business as
Authorized official Oriaku, Iheonu Usouwa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2010
Last updated Nov 22nd, 2010 - about 14 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 1598065732 NPPES
Florida MEDICAID 259802700
Florida Other 49280

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