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

Indian River Medical Office PA

Organization Nurse Practitioner · NPI 1467840710

Indian River Medical Office PA is a Nurse Practitioner in Titusville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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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

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1189412 (FL)

Record details

NPI number1467840710
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sherry Riley — Administrator · (321) 269-6530
NPI enumeratedJanuary 8, 2015
Last updated in NPPESJanuary 8, 2015
Mailing address3300 Dairy Rd, Titusville, FL 32796-1512

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