Space Coast Podiatry LLC

NPI #1740037597 in Palm Bay, Florida

Provider Information

NPI Number
1740037597
Entity Type
Organization
Organization Name
Space Coast Podiatry LLC
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Apr 30, 2024
Last Updated
Sep 9, 2024

Practice Location

Address
6100 MINTON RD NW STE 101
State
Florida
ZIP Code
32907-1900
Phone
(321) 802-4075

Authorized Official

Name
DR. MARK ALLEN VAUGHN, DPM
Title
CEO/PHYSICIAN
Phone
(321) 802-4075

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle SurgeryFoot & Ankle Surgery

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