Space Coast Health Care Services

NPI #1144274358 in Melbourne, Florida

Provider Information

NPI Number: 1144274358
Entity Type: Organization
Organization Name: Space Coast Health Care Services
Primary Specialty: Internal Medicine
Enumeration Date: May 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2080 W EAU GALLIE BLVD
Address 2: SUITE A
City: Melbourne
State: Florida
ZIP Code: 32935-3185
Phone: (321) 254-6218

Authorized Official

Name: DR. MICHAEL ALAN SHAPIRO, M.D.
Title: CHIEF EXECUTIVE OFFICER
Phone: (321) 254-6218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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