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SPACE COAST PATHOLOGISTS PA
NPI 1184606188
Pathology - Anatomic Pathology & Clinical Pathology in Melbourne, FL

Active since November 16, 2005
1350 S HICKORY ST, DEPT. OF PATHOLOGY, MELBOURNE, FL 32901(321) 434-7000(321) 434-5295 Get Directions Write a Review

NPPES record last updated: February 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Space Coast Pathologists Pa NPPES

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

SPACE COAST PATHOLOGISTS PA (NPI 1184606188) is a healthcare organization registered as an anatomic pathology & clinical pathology in Melbourne, Florida and active in the NPI registry since November 2005. The organization lists Carl T. Smedberg, President, as its authorized official.

NPPES Registry Identity

NPI1184606188
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameSPACE COAST PATHOLOGISTS PA
Location Address1350 S HICKORY ST, DEPT. OF PATHOLOGYMelbourne, FL 32901-3278
Mailing AddressPo Box 144333Orlando, FL 32814-4333 · (407) 422-9831 · Fax (407) 648-2065
Phone(321) 434-7000
Fax(321) 434-5295
Organization SubpartNo
Authorized OfficialCarl T. SmedbergPresident · (321) 953-4804
Enumeration DateNovember 16, 2005
Last NPPES UpdateFebruary 13, 2008
✔ NPI 1184606188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1350 S HICKORY ST, Melbourne, FL 32901
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Other Identifiers 3

Medicare PINC15028
Medicare PIN77387FL
Medicaid054991600FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MR. MARY FRANCES HIBBARD CRNFA
Registered Nurse (Medical-Surgical)
1350 S HICKORY ST, HOLMES REGIONAL MEDICAL CENTER (HEALTHFIRST)
MELBOURNE, FL 32901
Brevard County (321) 434-7000
TNT ENTERPRISES OF BREVARD INC.
Physician Assistant
1350 S HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 288-4068
DR. IRINA S MEZHERITSKIY M.D.
Radiology (Diagnostic Radiology)
1350 S HICKORY ST, HOLMES REGIONAL MEDICAL CENTER/RADIOLOGY
MELBOURNE, FL 32901
Brevard County (321) 434-7313
MRS. CATHERINE ANNE BARBOUR MSW
Social Worker
1350 S HICKORY ST, CASE MANAGEMENT DEPARTMENT
MELBOURNE, FL 32901
Brevard County (321) 434-1570
DR. JULIO DANIEL VALLETTE JR. M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1350 S HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-7243
MS. JAN L GARDNER ARNP
Nurse Practitioner (Family)
1350 S HICKORY ST, HRMC/HOSPITALIST PROGRAM
MELBOURNE, FL 32901
Brevard County (321) 434-1771
DR. BRENT D BRANDON M.D.
Radiology (Diagnostic Radiology)
1350 S HICKORY ST, HOLMES REGIONAL MEDICAL CENTER/RADIOLOGY
MELBOURNE, FL 32901
Brevard County (321) 434-7313
DR. CATHERINE L GARDNER M.D.
Radiology (Diagnostic Radiology)
1350 S HICKORY ST, HOLMES REGIONAL MEDICAL CENTER
MELBOURNE, FL 32901
Brevard County (321) 434-7313

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 Pathologists PA's NPI number?

The NPI number for Space Coast Pathologists PA is 1184606188. It was assigned to this organization in the NPPES registry on November 16, 2005.

Where is Space Coast Pathologists PA located?

Space Coast Pathologists PA is located at 1350 S Hickory St Dept. Of Pathology, Melbourne, FL 32901. The listed phone number is (321) 434-7000.

What is Space Coast Pathologists PA's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Space Coast Pathologists PA was last updated on February 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.