Organization · Type 2 NPI
Space Coast Dermatology Clinic, PLLC
Clinic/Center · Merritt Island, FL
NPI number
1043423189
Active
Practice location
695 Cone Park Ct
Merritt Island, FL 32952-3755
Fax (321) 453-4586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4 other providers at this address
- Christine M. Cooke, P.A.-CPhysician Assistant Merritt Island, FL NPI 1235150004
- James A. Earhart, MDDermatology Physician Merritt Island, FL NPI 1891716643
- Jane C. Mast, P.A.-CPhysician Assistant Merritt Island, FL NPI 1568483337
- Morgan Jackson, PA-CPhysician Assistant Merritt Island, FL NPI 1073075453
Other clinic/center providers in Merritt Island
About NPI 1043423189
Space Coast Dermatology Clinic, PLLC's National Provider Identifier is 1043423189, issued on May 7, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Merritt Island, FL. The record was last updated on Nov 18, 2010.