Space Coast Radiology Associates

LBN: Space Coast Radiology Associates
Space Coast Radiology Associates is an health care organization with primary practice located at 951 N Washington Ave , Titusville FL 32796-2163. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Space Coast Radiology Associates can be contacted via phone (321) 268-6192, or through Flynn, Joseph via phone (321) 268-6192.

Contact Information

Primary practice address
951 N Washington Ave Titusville FL 32796-2163
Phone: (321) 268-6192
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Flynn, Joseph Doctor of Osteopathy (DO)
Phone: (321) 268-6192

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Florida

Profile Details

NPI number 1396794566
LBN Legal business name Space Coast Radiology Associates
DBA Doing business as
Authorized official Flynn, Joseph Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Jul 21st, 2022 - about 2 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 1396794566 NPPES
Florida Other 00250 BCBS PROVIDER NUMBER
Florida MEDICAID 056061802 BCBS PROVIDER NUMBER
Florida Other CK0840 BCBS PROVIDER NUMBER
Florida MEDICAID 056061803 BCBS PROVIDER NUMBER
Florida MEDICAID 056061800 BCBS PROVIDER NUMBER
Florida MEDICAID 056061801 BCBS PROVIDER NUMBER

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