Merritt Island Surgery Center

LBN: Space Coast Surgical Center Ltd
Merritt Island Surgery Center is an health care organization with primary practice located at 220 N Sykes Creek Pkwy Suite 101, Merritt Island FL 32953-3490. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Space Coast Surgical Center Ltd can be contacted via phone (321) 459-0015, or through Johnson, Cynthia A via phone (321) 459-0015.

Contact Information

Primary practice address
220 N Sykes Creek Pkwy Suite 101 Merritt Island FL 32953-3490
Phone: (321) 459-0015
Fax: (321) 459-2291
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Cynthia A
Phone: (321) 459-0015

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 984 Florida

Profile Details

NPI number 1437112455
LBN Legal business name Space Coast Surgical Center Ltd
DBA Doing business as Merritt Island Surgery Center
Authorized official Johnson, Cynthia A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 28th, 2016 - about 8 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 1437112455 NPPES
Florida MEDICAID 079154700

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