Space Coast Urology, LLC
NPI #1336337690 in Titusville, Florida
Provider Information
- NPI Number
- 1336337690
- Entity Type
- Organization
- Organization Name
- Space Coast Urology, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 11, 2007
- Last Updated
- Mar 13, 2009
Practice Location
- Address
- 2203 GARDEN ST
- City
- Titusville
- State
- Florida
- ZIP Code
- 32796-2577
- Phone
- (321) 268-4693
Authorized Official
- Name
- DR. JUSTO GONZALEZ, M.D.
- Title
- UROLOGIST
- Phone
- (321) 268-4693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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