Organization · Type 2 NPI

Space Coast Surgery Center LLC

Ambulatory Surgical Clinic/Center · Merritt Island, FL

NPI number 1164662912 Active

Practice location

595 N Courtenay Pkwy, 103
Merritt Island, FL 32953-4851

Mailing address

595 N Courtenay Pkwy Ste 103
Merritt Island, FL 32953-4852

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1164662912

Space Coast Surgery Center LLC's National Provider Identifier is 1164662912, issued on Mar 5, 2009. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Merritt Island, FL. The record was last updated on Nov 1, 2022.