Space Coast Pain Relief Inc.

LBN: Space Coast Pain Relief Inc.
Space Coast Pain Relief Inc. is an health care organization with primary practice located at 3550 S Washington Ave Suite 24, Titusville FL 32780-8627. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Space Coast Pain Relief Inc. can be contacted via phone (321) 269-5533, or through Borges, Ibem Roandlo via phone (321) 269-5533.

Contact Information

Primary practice address
3550 S Washington Ave Suite 24 Titusville FL 32780-8627
Phone: (321) 269-5533
Fax: (321) 269-3009
Website:
Map and Directions
Authorized official contact:
Name: Borges, Ibem Roandlo Doctor of Medicine (MD)
Phone: (321) 269-5533

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X ME84507 Florida

Profile Details

NPI number 1841328002
LBN Legal business name Space Coast Pain Relief Inc.
DBA Doing business as
Authorized official Borges, Ibem Roandlo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Aug 22nd, 2020 - about 5 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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