Space Coast Medical Management Llc

LBN: Space Coast Medical Management Llc
Space Coast Medical Management Llc is an health care organization with primary practice located at 1840 Eldron Blvd Se Ste 2 , Palm Bay FL 32909-6871. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Space Coast Medical Management Llc can be contacted via phone (561) 523-3973, or through Husted, Michael via phone (561) 523-3973.

Contact Information

Primary practice address
1840 Eldron Blvd Se Ste 2 Palm Bay FL 32909-6871
Phone: (561) 523-3973
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Husted, Michael
Phone: (561) 523-3973

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1881298768
LBN Legal business name Space Coast Medical Management Llc
DBA Doing business as
Authorized official Husted, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2020
Last updated Nov 23rd, 2020 - about 4 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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