Space Coast Medical Center
NPI #1982906582 in Titusville, Florida
Provider Information
- NPI Number
- 1982906582
- Entity Type
- Organization
- Organization Name
- Space Coast Medical Center
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 2, 2010
- Last Updated
- Dec 2, 2010
Practice Location
- Address
- 3550 S WASHINGTON AVE
- Address 2
- SUITE 24
- City
- Titusville
- State
- Florida
- ZIP Code
- 32780-8627
- Phone
- (321) 269-5533
Authorized Official
- Name
- MRS. MARY HARRISON
- Title
- VICE PRESIDENT
- Phone
- (321) 269-5533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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