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SPACE COAST MEDICAL ASSOCIATES LLP
NPI 1558329581
Internal Medicine - Hematology & Oncology in Titusville, FL

Active since May 01, 2006
490 N WASHINGTON AVE, TITUSVILLE, FL 32796(311) 268-4200 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Space Coast Medical Associates Llp NPPES

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

SPACE COAST MEDICAL ASSOCIATES LLP (NPI 1558329581) is a healthcare organization registered as a hematology & oncology in Titusville, Florida and active in the NPI registry since May 2006. The organization lists Richard Levine, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1558329581
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameSPACE COAST MEDICAL ASSOCIATES LLP
Location Address490 N WASHINGTON AVETitusville, FL 32796-2871
Mailing Address490 N Washington AveTitusville, FL 32796-2871 · (311) 268-4200
Phone(311) 268-4200
Organization SubpartNo
Authorized OfficialRichard LevineManaging Partner · (321) 454-9001
Enumeration DateMay 1, 2006
Last NPPES UpdateJuly 29, 2014
✔ NPI 1558329581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
490 N WASHINGTON AVE, Titusville, FL 32796
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Other Identifiers 11

Medicaid253792304FL
Medicare PIN40680F
Other6992550001FL · Ptan
Medicaid253792307FL
Medicaid253792305FL
Medicaid253792300FL
Medicare PIN40680A
Medicare PIN40680FFL
Medicaid253792301FL
Medicaid253792303FL
Medicare PIN40680AFL

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

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.

PINNACLE RADIOLOGY LLC
Radiology (Diagnostic Radiology)
490 N WASHINGTON AVE
TITUSVILLE, FL 32796
Brevard County (321) 268-4200
ANITA FROST-LINDENBLAD ARNP
Clinical Nurse Specialist (Oncology)
490 N WASHINGTON AVE
TITUSVILLE, FL 32796
Brevard County (321) 268-4200
JUAN CAMILO CAMACHO VELANDIA REGISTER DIETITIAN
Dietitian, Registered
490 N WASHINGTON AVE
TITUSVILLE, FL 32796
Brevard County (321) 268-4200
DR. ALPHONSE M PECORARO MD
Surgery
490 N WASHINGTON AVE
TITUSVILLE, FL 32796
Brevard County (321) 268-6868

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 Medical Associates LLP's NPI number?

The NPI number for Space Coast Medical Associates LLP is 1558329581. It was assigned to this organization in the NPPES registry on May 1, 2006.

Where is Space Coast Medical Associates LLP located?

Space Coast Medical Associates LLP is located at 490 N Washington Ave, Titusville, FL 32796. The listed phone number is (311) 268-4200.

What is Space Coast Medical Associates LLP's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Space Coast Medical Associates LLP was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.