| Space Coast Medical Center | |
|
3550 S Washington Ave Suite 24 Titusville FL 32780-8627 | |
| (321) 269-5533 | |
| (321) 269-3009 |
| Full Name | Space Coast Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 3550 S Washington Ave, Titusville, Florida |
| Authorized Official Name and Position | Mary Harrison (VICE PRESIDENT) |
| Authorized Official Contact | 3212695533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space Coast Medical Center 3550 S Washington Ave Suite 24 Titusville FL 32780-8627 Ph: (321) 269-5533 | Space Coast Medical Center 3550 S Washington Ave Suite 24 Titusville FL 32780-8627 Ph: (321) 269-5533 |
| NPI Number | 1982906582 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982906582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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