| Space Coast Volunteers In Medicine | |
|
2555 Judge Fran Jamieson Way Viera FL 32940-5998 | |
| (321) 639-5813 | |
| (321) 637-7512 |
| Full Name | Space Coast Volunteers In Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2555 Judge Fran Jamieson Way, Viera, Florida |
| Authorized Official Name and Position | Lee Allen Stoeckert (IT DIRECTOR) |
| Authorized Official Contact | 3216395813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space Coast Volunteers In Medicine 2555 Judge Fran Jamieson Way Viera FL 32940-5998 Ph: (321) 639-5813 | Space Coast Volunteers In Medicine 2555 Judge Fran Jamieson Way Viera FL 32940-5998 Ph: (321) 639-5813 |
| NPI Number | 1467712695 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467712695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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