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Indian River Medical Office PA

Nurse Practitioner in Titusville, FL · enumerated 2015 · authorized official Sherry Riley, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467840710

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Registry record

Entity type Organization (Type 2)
Legal business name Indian River Medical Office PA
Practice address 3300 Dairy Rd, Titusville, FL, 32796
Fax (321) 269-2334
Enumeration date Jan 8, 2015
Last updated in NPPES Jan 8, 2015

Taxonomy & classification

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 1189412 (FL) Primary

Authorized official

Name Sherry Riley
Title Administrator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Indian River Medical Office PA located?
The practice location on file with NPPES is in Titusville, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-01-08. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-08.