Organization · Type 2 NPI

Space Coast Urology, LLC

Specialist · Titusville, FL

NPI number 1336337690 Active

Practice location

2203 Garden St
Titusville, FL 32796-2577

Call (321) 268-4693 Map

Fax (321) 268-4696

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME67177 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1336337690

Space Coast Urology, LLC's National Provider Identifier is 1336337690, issued on Oct 11, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Titusville, FL. The record was last updated on Mar 13, 2009.