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SPACE COAST CARDIOLOGY CONSULTANTS
NPI 1225053176
Internal Medicine - Cardiovascular Disease in Port St John, FL

Active since July 13, 2006CLIA Certified · 2 labs
7139 NORTH HIGHWAY US # 1, PORT ST JOHN, FL 32927(321) 635-8304(321) 635-8252 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Space Coast Cardiology Consultants NPPES

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

SPACE COAST CARDIOLOGY CONSULTANTS (NPI 1225053176) is a healthcare organization registered as a cardiovascular disease in Port St John, Florida and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Laurie Holland, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225053176
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSPACE COAST CARDIOLOGY CONSULTANTS
Location Address7139 NORTH HIGHWAY US # 1Port St John, FL 32927-5094
Mailing Address7139 North Highway Us # 1Port St John, FL 32927-5094 · (321) 635-8304 · Fax (321) 635-8252
Phone(321) 635-8304
Fax(321) 635-8252
Organization SubpartNo
Authorized OfficialLaurie HollandAdministrator · (352) 362-4223
Enumeration DateJuly 13, 2006
Last NPPES UpdateApril 7, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1225053176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

7139 NORTH HIGHWAY US # 1, Port St John, FL 32927
Open in Google Maps ↗

Other Identifiers 1

OtherCL3045FL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D0993769

Space Coast Cardiology Consultants · Port Saint John, FL
Active · expires Nov 25, 2027
CLIA Number10D0993769
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2025
Certificate Expiration DateNovember 25, 2027
Laboratory DirectorR B. Palaniyandi
Laboratory Phone(321) 635-8304
Laboratory LocationSpace Coast Cardiology Consultants7139 N Us Hwy 1, Port Saint John, FL 32927
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2052039

Space Coast Cardiology Consultants PA · Melbourne, FL
Active · expires Jan 3, 2027
CLIA Number10D2052039
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorRavindran B. Palaniyandi
Laboratory Phone(321) 635-8304
Laboratory LocationSpace Coast Cardiology Consultants PA8059 Spyglass Hill Rd Ste 101, Melbourne, FL 32940
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

RAVINDRAN BALAMBAL PALANIYANDI M.D.
Internal Medicine (Cardiovascular Disease)
7139 NORTH HIGHWAY US # 1
PORT ST JOHN, FL 32927
Brevard County (321) 635-8304

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 Cardiology Consultants's NPI number?

The NPI number for Space Coast Cardiology Consultants is 1225053176. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Space Coast Cardiology Consultants located?

Space Coast Cardiology Consultants is located at 7139 North Highway Us # 1, Port St John, FL 32927. The listed phone number is (321) 635-8304.

What is Space Coast Cardiology Consultants's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Space Coast Cardiology Consultants hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Space Coast Cardiology Consultants accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Space Coast Cardiology Consultants 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 Cardiology Consultants was last updated on April 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.