Organization · Type 2 NPI

Space Coast Ear Nose and Throat Associates

Otolaryngology Physician · Melbourne, FL

NPI number 1790019735 Active

Practice location

1684 W Hibiscus Blvd
Melbourne, FL 32901-2631

Fax (321) 951-9267

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1790019735

Space Coast Ear Nose and Throat Associates's National Provider Identifier is 1790019735, issued on Sep 23, 2009. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Melbourne, FL. The record was last updated on May 1, 2026.