| Space Coast Endocrinology Llc | |
|
835 Executive Ln Suite 110 Rockledge FL 32955-8068 | |
| (321) 638-2075 | |
| (321) 638-2234 |
| Full Name | Space Coast Endocrinology Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 835 Executive Ln, Rockledge, Florida |
| Authorized Official Name and Position | Sandi Laroche (MSO CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3214494168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space Coast Endocrinology Llc 150 N Sykes Creek Pkwy Suite 300 Merritt Island FL 32953-3488 Ph: (321) 449-4168 | Space Coast Endocrinology Llc 835 Executive Ln Suite 110 Rockledge FL 32955-8068 Ph: (321) 638-2075 |
| NPI Number | 1376682559 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 04/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376682559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Internal Medicine Of Brevard, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1978 Rockledge Blvd, Ste 108, Rockledge, FL 32955 Phone: 321-631-0392 Fax: 321-631-5787 | |
Oscar H Jerkins, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Orange Ave, Rockledge, FL 32955 Phone: 888-974-5556 | |
George Idiculla Md,pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1029 Florida Ave S, Rockledge, FL 32955 Phone: 321-638-0888 | |
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Mental Health Resource Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Barton Blvd Ste 7, Rockledge, FL 32955 Phone: 321-504-3888 Fax: 321-504-3462 | |
Endo Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5460 Village Drive,viera, Rockledge, FL 32955 Phone: 972-821-1253 | |
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