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

Space Coast Medical Center

Organization Family Medicine Physician · NPI 1982906582

Space Coast Medical Center provides Family Medicine Physician services in Titusville, Florida. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

3550 S Washington Ave Ste 24
Titusville, FL 32780-8627 Not confirmed with CMS for 15 years — call before visiting
Phone: (321) 269-5533
Fax: (321) 269-3009
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1982906582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Harrison — Vice President · (321) 269-5533
NPI enumeratedDecember 2, 2010
Last updated in NPPESDecember 2, 2010
Mailing address3550 S Washington Ave, Suite 24, Titusville, FL 32780-8627

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