Organization · Type 2 NPI
Space Coast Medical, LLC
Rehabilitation Clinic/Center · Barefoot Bay, FL
NPI number
1376807511
Active
Practice location
935 Barefoot Blvd, Bldg 1 Suite 2
Barefoot Bay, FL 32976-7620
Mailing address
4295 N US Highway 1
Melbourne, FL 32935-4822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | OS6898 (FL) |
| Physical Therapy Clinic/Center | 261QP2000X | None listed |
| Rehabilitation Clinic/Center Primary | 261QR0400X | None listed |
Rehabilitation Clinic/Center: Definition to come...
About NPI 1376807511
Space Coast Medical, LLC's National Provider Identifier is 1376807511, issued on Jul 3, 2012. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Barefoot Bay, FL. The record was last updated on Jul 28, 2015.