Space Coast Medical, Llc

LBN: Space Coast Medical, Llc
Space Coast Medical, Llc is an health care organization with primary practice located at 935 Barefoot Blvd Bldg 1 Suite 2, Barefoot Bay FL 32976-7620. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty. Space Coast Medical, Llc can be contacted via phone (321) 557-4667, or through Lail, Jason via phone (321) 557-4667.

Contact Information

Primary practice address
935 Barefoot Blvd Bldg 1 Suite 2 Barefoot Bay FL 32976-7620
Phone: (321) 557-4667
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lail, Jason
Phone: (321) 557-4667

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS6898 Florida
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1376807511
LBN Legal business name Space Coast Medical, Llc
DBA Doing business as
Authorized official Lail, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2012
Last updated Jul 28th, 2015 - about 9 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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