SPACE COAST RADIOLOGY ASSOCIATES
NPI 1396794566
Radiology - Diagnostic Radiology in Titusville, FL

Active since May 08, 2006
951 N WASHINGTON AVE, TITUSVILLE, FL 32796(321) 268-6192 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 28, 2015 (2 updates tracked since 2015).

About Space Coast Radiology Associates NPPES

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

SPACE COAST RADIOLOGY ASSOCIATES (NPI 1396794566) is a healthcare organization registered as a diagnostic radiology in Titusville, Florida and active in the NPI registry since May 2006. The organization lists Joseph Flynn, Vice President, as its authorized official.

NPPES Registry Identity

NPI1396794566
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSPACE COAST RADIOLOGY ASSOCIATES
Location Address951 N WASHINGTON AVETitusville, FL 32796-2163
Mailing AddressPo Box 3148Indianapolis, IN 46206-3148 · (855) 206-8407
Organization SubpartNo
Authorized OfficialJoseph FlynnVice President · (321) 268-6192
Enumeration DateMay 8, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1396794566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
951 N WASHINGTON AVE, Titusville, FL 32796

Other Identifiers 6

Medicaid056061802FL
Other00250FL · Bcbs Provider Number
OtherCK0840FL · Rr Medicare
Medicaid056061801FL
Medicaid056061803FL
Medicaid056061800FL

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.

Speech-Language Pathologist
951 N WASHINGTON AVE
TITUSVILLE, FL 32796
Hospitalist
951 N WASHINGTON AVE, PARRISH MEDICAL GROUP. HOSPITALIST DEPT
TITUSVILLE, FL 32796
General Acute Care Hospital
951 N WASHINGTON AVE
TITUSVILLE, FL 32796
Radiology (Diagnostic Radiology)
951 N WASHINGTON AVE
TITUSVILLE, FL 32796
Hospitalist
951 N WASHINGTON AVE, PARRISH MEDICAL GROUP - HOSPITALIST DEPT
TITUSVILLE, FL 32796
Nurse Practitioner
951 N WASHINGTON AVE
TITUSVILLE, FL 32796
Psychiatry & Neurology (Neurology)
951 N WASHINGTON AVE, PMG. HOSPITALIST.NEUROLOGY DEPT
TITUSVILLE, FL 32796
Dietitian, Registered
951 N WASHINGTON AVE
TITUSVILLE, FL 32796

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 Radiology Associates's NPI number?

The NPI number for Space Coast Radiology Associates is 1396794566. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Space Coast Radiology Associates located?

Space Coast Radiology Associates is located at 951 N Washington Ave, Titusville, FL 32796. The listed phone number is (321) 268-6192.

What is Space Coast Radiology Associates's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Space Coast Radiology Associates was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.