Irwic South LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

IRWIC SOUTH LLC

Doing business as

Indian River Walk In Clinic

Practice address

11327 Okeechobee Blvd
Suite 2
Royal Palm Beach, FL 33411-8724

Phone

(561) 795-4565

Fax

(561) 795-3992

NPI assigned

Apr 1, 2008

Last updated

Apr 1, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Stephen Lobel

Title

Director

Phone

(772) 299-1092

Specialties & licenses 1

Addresses

Other names 1

• Indian River Walk In Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1386816171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 S US HIGHWAY 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329624703",
            "telephone_number": "772-299-1092",
            "fax_number": "772-978-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11327 OKEECHOBEE BLVD",
            "address_2": "SUITE 2",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118724",
            "telephone_number": "561-795-4565",
            "fax_number": "561-795-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIC SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "LOBEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-299-1092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian River Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.