| Space Coast Medical, Llc | |
|
935 Barefoot Blvd Bldg 1 Suite 2 Barefoot Bay FL 32976-7620 | |
| (321) 557-4667 | |
| Not Available |
| Full Name | Space Coast Medical, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation |
| Location | 935 Barefoot Blvd, Barefoot Bay, Florida |
| Authorized Official Name and Position | Jason Lail (C.E.O.) |
| Authorized Official Contact | 3215574667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space Coast Medical, Llc 4295 N Us Highway 1 Melbourne FL 32935-4822 Ph: (321) 557-4667 | Space Coast Medical, Llc 935 Barefoot Blvd Bldg 1 Suite 2 Barefoot Bay FL 32976-7620 Ph: (321) 557-4667 |
| NPI Number | 1376807511 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376807511 | NPI | - | NPPES |
Medicsolutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7901 Ron Beatty Blvd, Barefoot Bay, FL 32976 Phone: 772-664-8171 Fax: 772-664-8186 | |
Myhealth By Shaw Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 947 Barefoot Blvd, Barefoot Bay, FL 32976 Phone: 321-593-6999 Fax: 321-327-2262 | |
Irhs-primary Care Barefoot Bay Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 937 Barefoot Blvd, Barefoot Bay, FL 32976 Phone: 772-664-4349 |