Space Coast Health Care Services

NPI 1144274358 - Internal Medicine - 207R00000X

NPI Details
NPI 1144274358
Enumeration Date 05/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL ALAN MICHAEL
Position CHIEF EXECUTIVE OFFICER
Phone (321) 254-6218
Fax (321) 254-6230
Practice Location
2080 W EAU GALLIE BLVD
SUITE A
MELBOURNE FL, 32935-3185, US
Phone (321) 254-6218
Fax (321) 254-6230
Business Location
2080 W EAU GALLIE BLVD
SUITE A
MELBOURNE FL, 32935-3185, US
Phone (321) 254-6218
Fax (321) 254-6230
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
Remove 1144274358 NPI Number
 

According to our database, Space Coast Health Care Services NPI is 1144274358, taxonomy code is 207R00000X Space Coast Health Care Services physically located at 2080 W Eau Gallie Blvd, Melbourne FL, 32935-3185. NPI Number 1033115704 has the healthcare provider type.

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1144274358 NPI number is provided on an as is basis without warranty of any kind. 1144274358 is maintained by the National Plan & Provider Enumeration System. The contents of Space Coast Health Care Services are for informational purposes only.