| Space Coast Health Care Services | |
|
2080 W Eau Gallie Blvd Suite A Melbourne FL 32935-3185 | |
| (321) 254-6218 | |
| (321) 254-6230 |
| Full Name | Space Coast Health Care Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 2080 W Eau Gallie Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Michael Alan Shapiro (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3212546218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space Coast Health Care Services 2080 W Eau Gallie Blvd Suite A Melbourne FL 32935-3185 Ph: (321) 254-6218 | Space Coast Health Care Services 2080 W Eau Gallie Blvd Suite A Melbourne FL 32935-3185 Ph: (321) 254-6218 |
| NPI Number | 1144274358 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144274358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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