Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Indian River Medical Office PA

Organization Specialist · NPI 1245220557

Indian River Medical Office PA is a Specialist in Titusville, Florida. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3300 Dairy Rd
Titusville, FL 32796-1512
Phone: (321) 269-6530
Fax: (321) 269-2334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1245220557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Whittamore — Administrator · (321) 267-6687
NPI enumeratedOctober 27, 2005
Last updated in NPPESMarch 3, 2011
Mailing address3300 Dairy Rd, Titusville, FL 32796-1512

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