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SPACE COAST PEDIATRICS LLC
NPI 1346081189
Pediatrics in Viera, FL

Active since June 05, 2024CLIA 10D2341152 · Waiver
8045 SPYGLASS HILL RD STE 105, VIERA, FL 32940(321) 467-1660 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Space Coast Pediatrics Llc NPPES

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

SPACE COAST PEDIATRICS LLC (NPI 1346081189) is a healthcare organization registered as a pediatrics in Viera, Florida and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Arleene Sepulveda, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1346081189
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSPACE COAST PEDIATRICS LLC
Location Address8045 SPYGLASS HILL RD STE 105Viera, FL 32940-8567
Mailing Address8045 Spyglass Hill Rd Ste 105Viera, FL 32940-8567 · (772) 269-1904
Phone(321) 467-1660
Organization SubpartNo
Authorized OfficialArleene SepulvedaPediatrician · (772) 269-1904
Enumeration DateJune 5, 2024
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
✔ NPI 1346081189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8045 SPYGLASS HILL RD STE 105, Viera, FL 32940
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Other Identifiers 1

Other1770813552FL · Npi

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

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 10D2341152

Space Coast Pediatrics LLC · Melbourne, FL
Active · expires Mar 26, 2028
CLIA Number10D2341152
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorArleene M. Sepulvda
Laboratory Phone(772) 269-1904
Laboratory LocationSpace Coast Pediatrics LLC8045 Spyglass Hill Rd Ste 105, 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 4

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

MRS. JULIE ANN STARR ARNP
Nurse Practitioner (Adult Health)
8045 SPYGLASS HILL RD STE 105
MELBOURNE, FL 32940
Brevard County (321) 610-4960
ANISA ANN MEAD FNP
Nurse Practitioner (Family)
8045 SPYGLASS HILL RD STE 105
MELBOURNE, FL 32940
Brevard County (321) 610-4960
DANIEL CURTIS STARR MD
Internal Medicine
8045 SPYGLASS HILL RD STE 105
MELBOURNE, FL 32940
Brevard County (321) 610-4960
STAR INTERNAL MEDICINE AND ASSOCIATES INC
Internal Medicine
8045 SPYGLASS HILL RD STE 105
MELBOURNE, FL 32940
Brevard County (321) 610-4960

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 Pediatrics LLC's NPI number?

The NPI number for Space Coast Pediatrics LLC is 1346081189. It was assigned to this organization in the NPPES registry on June 5, 2024.

Where is Space Coast Pediatrics LLC located?

Space Coast Pediatrics LLC is located at 8045 Spyglass Hill Rd Ste 105, Viera, FL 32940. The listed phone number is (321) 467-1660.

What is Space Coast Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Space Coast Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2341152) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Space Coast Pediatrics LLC was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.