INDIAN RIVER MEDICAL OFFICE PA
NPI 1467840710
Nurse Practitioner in Titusville, FL

Q: What is Indian River Medical Office PA's NPI number?

The NPI number for Indian River Medical Office PA is 1467840710. It was assigned to this organization in the NPPES registry on January 8, 2015.

Q: What is Indian River Medical Office PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 08, 2015

3300 DAIRY RD, TITUSVILLE, FL 32796(321) 269-6530(321) 269-2334 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Indian River Medical Office Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIAN RIVER MEDICAL OFFICE PA (NPI 1467840710) is a healthcare organization registered as a nurse practitioner in Titusville, Florida and active in the NPI registry since January 2015. The organization lists Sherry Riley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1467840710

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameINDIAN RIVER MEDICAL OFFICE PA

Location Address3300 DAIRY RDTitusville, FL 32796-1512

Mailing Address3300 Dairy RdTitusville, FL 32796-1512 · (321) 269-6530 · Fax (321) 269-2334

Phone(321) 269-6530

Fax(321) 269-2334

Organization SubpartNo

Authorized OfficialSherry RileyAdministrator · (321) 269-6530

Enumeration DateJanuary 8, 2015

✔ NPI 1467840710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · 1189412

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3300 DAIRY RD, Titusville, FL 32796

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA ALLEN ARNP

Nurse Practitioner (Family)