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

Indian River Memorial Hospital Inc

Organization Internal Medicine Physician · NPI 1497714380

Indian River Memorial Hospital Inc is an Internal Medicine Physician in Vero Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 36th St
Vero Beach, FL 32960-4862
Phone: (772) 567-4311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4029 (FL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 4029 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 4029 (FL)

Record details

NPI number1497714380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Longville — Chief Accounting Officer And Contro · (216) 636-7416
Other names Physician Billing; Physician Billing
NPI enumeratedMarch 21, 2006
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address1000 36th St, Vero Beach, FL 32960-4862

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