| Space Coast Podiatry Llc | |
|
6100 Minton Rd Nw Ste 101, Palm Bay, FL 32907-1900 | |
| (321) 802-4075 | |
| Not Available |
| Full Name | Space Coast Podiatry Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 6100 Minton Rd Nw Ste 101, Palm Bay, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740037597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Mark A Vaughn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477948917 PECOS PAC ID: 3072863273 Enrollment ID: I20180910002362 |
| Mailing Address | Practice Location Address |
|---|---|
| Space Coast Podiatry Llc 6100 Minton Rd Nw Ste 101, Palm Bay, FL 32907-1900 Ph: (321) 802-4075 | Space Coast Podiatry Llc 6100 Minton Rd Nw Ste 101, Palm Bay, FL 32907-1900 Ph: (321) 802-4075 |
Briant G Moyles Dpm Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 590 Malabar Rd Se Ste 5, Palm Bay, FL 32907 Phone: 321-723-3500 | |
Sienna Day, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1421 Malabar Rd Ne Ste 200, Palm Bay, FL 32907 Phone: 321-308-2660 Fax: 321-984-9303 | |
Mark Vaughn, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6100 Minton Rd Nw Ste 101, Palm Bay, FL 32907 Phone: 321-802-4075 Fax: 321-802-4074 | |
Dr. Bruce Martin Nigro, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2101 Pumpkin Pl Ne, Palm Bay, FL 32905 Phone: 321-412-1705 Fax: 321-726-5959 | |
Dr. Michael John Ayres, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 910 Malabar Rd Se, Ste 1, Palm Bay, FL 32907 Phone: 321-722-0000 Fax: 321-768-0085 | |
Shelly A Garrow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4670 Babcock St Ne, Palm Bay, FL 32905 Phone: 321-723-3498 Fax: 321-723-2761 |