Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Space Coast Cardiology Consultants

Organization Cardiovascular Disease Physician · NPI 1225053176

Space Coast Cardiology Consultants provides Cardiovascular Disease Physician services in Port St John, Florida. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

7139 N Highway US # 1
Port St John, FL 32927-5094
Phone: (321) 635-8304
Fax: (321) 635-8252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1225053176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurie Holland — Administrator · (352) 362-4223
NPI enumeratedJuly 13, 2006
Last updated in NPPESApril 7, 2025
Certification dateMarch 25, 2025
Mailing address7139 North Highway Us # 1, Port St John, FL 32927-5094

Other providers in Port St John