Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Indian River Medical Office PA

Organization Nurse Practitioner · NPI 1467840710

Indian River Medical Office PA provides Nurse Practitioner services 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 Not confirmed with CMS for 11 years — call before visiting
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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