Space Coast Endoscopy Center

LBN: Rockledge Fl Endoscopy Asc Llc
Space Coast Endoscopy Center is an health care organization with primary practice located at 1974 Rockledge Blvd Suite 102, Rockledge FL 32955-3723. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Rockledge Fl Endoscopy Asc Llc can be contacted via phone (321) 504-4440, or through Snodgrass, Jeffrey via phone (615) 665-1283.

Contact Information

Primary practice address
1974 Rockledge Blvd Suite 102 Rockledge FL 32955-3723
Fax: (321) 504-4470
Website:
Authorized official contact:
Name: Snodgrass, Jeffrey

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 1229 Florida

Profile Details

NPI number 1124092945
LBN Legal business name Rockledge Fl Endoscopy Asc Llc
DBA Doing business as Space Coast Endoscopy Center
Authorized official Snodgrass, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2006
Last updated Nov 1st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124092945 NPPES
Florida MEDICAID 0759848-00

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