Space Coast Medical, LLC
Space Coast Medical, LLC provides General Practice Physician services in Barefoot Bay, Florida. Licensed in Florida. Registered with an NPI since 2012.
- Licensed in
- FL
- In the registry since
- 2012
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
935 Barefoot Blvd Bldg 1 Ste 2Barefoot Bay, FL 32976-7620 Not confirmed with CMS for 11 years — call before visiting
Phone: (321) 557-4667
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0400X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence OS6898 (FL) |
| Physical Therapy Clinic/Center | Taxonomy 261QP2000X |
Record details
| NPI number | 1376807511 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Lail — C.E.O. · (321) 557-4667 |
| NPI enumerated | July 3, 2012 |
| Last updated in NPPES | July 28, 2015 |
| Mailing address | 4295 N Us Highway 1, Melbourne, FL 32935-4822 |