SPACE COAST SURGERY CENTER LLC
NPI 1164662912
Clinic/Center - Ambulatory Surgical in Merritt Island, FL

Q: What is Space Coast Surgery Center LLC's NPI number?

The NPI number for Space Coast Surgery Center LLC is 1164662912. It was assigned to this organization in the NPPES registry on March 5, 2009.

Q: What is Space Coast Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since March 05, 2009CLIA 10D1097649 · Waiver

595 N COURTENAY PKWY, 103, MERRITT ISLAND, FL 32953(813) 569-6500 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2022, Jan 10, 2019 (2 updates tracked since 2019).

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About Space Coast Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPACE COAST SURGERY CENTER LLC (NPI 1164662912) is a healthcare organization registered as an ambulatory surgical in Merritt Island, Florida and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through March 30, 2027 and lists Jennifer B Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164662912

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSPACE COAST SURGERY CENTER LLC

Location Address595 N COURTENAY PKWY, 103Merritt Island, FL 32953-4851

Mailing Address595 N Courtenay Pkwy Ste 103Merritt Island, FL 32953-4852 · (813) 890-1800

Phone(813) 569-6500

Organization SubpartNo

Authorized OfficialJennifer B BaldockOfficer And Authorized Official · (615) 234-5954

Enumeration DateMarch 5, 2009

Last NPPES UpdateNovember 1, 20222 updates tracked since enumeration

NPPES CertifiedNovember 1, 2022

✔ NPI 1164662912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

595 N COURTENAY PKWY, Merritt Island, FL 32953

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1097649

Space Coast Surgery Center · Merritt Island, FL

Active · expires Mar 30, 2027

CLIA Number10D1097649

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 31, 2025

Certificate Expiration DateMarch 30, 2027

Laboratory DirectorAshish Udeshi

Laboratory Phone(321) 890-1800

Laboratory LocationSpace Coast Surgery Center595 N Courtenay Pkwy #103, Merritt Island, FL 32953

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

552 services172 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

491 services211 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

354 services188 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

316 services156 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

198 services103 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

195 services88 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

190 services66 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

143 services140 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

140 services70 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

117 services72 patients

Destruction of nerves supplying joint between spine and pelvis using imaging guidance 64625

This procedure involves the use of imaging technology to accurately locate and destroy specific nerves in the joint between your spine and pelvis. The goal is to reduce pain by interrupting the nerve signals responsible for your discomfort.

80 services52 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

64 services28 patients

Destruction of peripheral nerve or branch 64640

Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.

61 services35 patients

Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance 64454

This procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.

60 services29 patients

Destruction of nerve branches of knee using imaging guidance 64624

This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.

44 services32 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

40 services15 patients

Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve 64418

This is a procedure where a medicine, often a mix of a numbing agent and a steroid, is injected into the suprascapular nerve in your shoulder. It's usually done to help manage shoulder pain, decrease inflammation, and improve mobility.

25 services12 patients

Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628

This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.

25 services25 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

12 services12 patients

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STANLEY GOLOVAC MD

Pain Medicine (Interventional Pain Medicine)

595 N COURTENAY PKWY, SUITE 101
MERRITT ISLAND, FL 32953

Brevard County (321) 784-8211

RODERICK ANTHONY FOSTER LMT

Massage Therapist

595 N COURTENAY PKWY, #203
MERRITT ISLAND, FL 32953

Brevard County (321) 453-8484

STANGO P.A.

Pain Medicine (Interventional Pain Medicine)

595 N COURTENAY PKWY, STE. 101
MERRITT ISLAND, FL 32953

Brevard County (214) 378-4661

THE PAIN INSTITUTE

Non-Pharmacy Dispensing Site

595 N COURTENAY PKWY
MERRITT ISLAND, FL 32953

Brevard County (321) 784-8211

SUSAN C FAIR DO PA

Family Medicine

595 N COURTENAY PKWY, SUITE 102
MERRITT ISLAND, FL 32953

Brevard County (321) 455-1226

VIRGINIA CHAN PT

Physical Therapist

595 N COURTENAY PKWY, #203
MERRITT ISLAND, FL 32953

Brevard County (321) 453-8484

SUSAN CAROLE FAIR DO

Family Medicine

595 N COURTENAY PKWY, SUITE 102
MERRITT ISLAND, FL 32953

Brevard County (321) 455-1226

THE PAIN INSTITUTE INC

Pain Medicine (Interventional Pain Medicine)

595 N COURTENAY PKWY
MERRITT ISLAND, FL 32953

Brevard County (321) 784-8211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Space Coast Surgery Center LLC's NPI number?

The NPI number for Space Coast Surgery Center LLC is 1164662912. It was assigned to this organization in the NPPES registry on March 5, 2009.

Where is Space Coast Surgery Center LLC located?

Space Coast Surgery Center LLC is located at 595 N Courtenay Pkwy 103, Merritt Island, FL 32953. The listed phone number is (813) 569-6500.

What is Space Coast Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Space Coast Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1097649) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Space Coast Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 4 other insurers list Space Coast Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Space Coast Surgery Center LLC was last updated on November 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

About Space Coast Surgery Center Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 10D1097649

Areas of Expertise CMS Part B claims 19

Other Providers at the Same Location NPPES 18

Frequently Asked Questions NPPES & CMS

What is Space Coast Surgery Center LLC's NPI number?

Where is Space Coast Surgery Center LLC located?

What is Space Coast Surgery Center LLC's specialty?

Does Space Coast Surgery Center LLC hold a CLIA laboratory certificate?

What insurance does Space Coast Surgery Center LLC accept?

When was this NPI record last updated?

Certificate of Waiver 10D1097649