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:
Authorized official contact:
Name: Oriaku, Iheonu Usouwa Doctor of Medicine (MD)
Phone: (772) 643-4208
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598065732 | NPPES |
| Florida | MEDICAID | 259802700 | |
| Florida | Other | 49280 |
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