Space Coast Pediatrics LLC

NPI #1346081189 in Viera, Florida

Provider Information

NPI Number: 1346081189
Entity Type: Organization
Organization Name: Space Coast Pediatrics LLC
Primary Specialty: Pediatrics
Enumeration Date: Jun 5, 2024
Last Updated: Oct 25, 2024

Practice Location

Address: 8045 SPYGLASS HILL RD STE 105
City: Viera
State: Florida
ZIP Code: 32940-8567
Phone: (321) 467-1660

Authorized Official

Name: ARLEENE SEPULVEDA, MD
Title: PEDIATRICIAN
Phone: (772) 269-1904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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