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SPACE COAST VASCULAR INC
NPI 1598938250
Specialist in Melbourne, FL

Active since April 02, 2008
655 S APOLLO BLVD, MELBOURNE, FL 32901(321) 751-2707(321) 255-2361 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Space Coast Vascular Inc NPPES

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

SPACE COAST VASCULAR INC (NPI 1598938250) is a healthcare organization registered as a specialist in Melbourne, Florida and active in the NPI registry since April 2008. The organization lists Peter S Dovgan, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1598938250
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPACE COAST VASCULAR INC
Location Address655 S APOLLO BLVDMelbourne, FL 32901-1485
Mailing Address655 S Apollo BlvdMelbourne, FL 32901-1485 · (321) 751-2707 · Fax (321) 255-2361
Phone(321) 751-2707
Fax(321) 255-2361
Organization SubpartNo
Authorized OfficialPeter S DovganPresident/ceo · (321) 751-2707
Enumeration DateApril 2, 2008
Last NPPES UpdateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1598938250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
655 S APOLLO BLVD, Melbourne, FL 32901
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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 3

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

SLEEP DISORDER SPECIALISTS PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
655 S APOLLO BLVD, SUITE 1
MELBOURNE, FL 32901
Brevard County (321) 327-2440
DR. PETER SAMO DOVGAN MD
Surgery (Vascular Surgery)
655 S APOLLO BLVD
MELBOURNE, FL 32901
Brevard County (321) 751-2707
LYNN ANN MEYER PA
Physician Assistant
655 S APOLLO BLVD
MELBOURNE, FL 32901
Brevard County (321) 723-4644

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 Vascular Inc's NPI number?

The NPI number for Space Coast Vascular Inc is 1598938250. It was assigned to this organization in the NPPES registry on April 2, 2008.

Where is Space Coast Vascular Inc located?

Space Coast Vascular Inc is located at 655 S Apollo Blvd, Melbourne, FL 32901. The listed phone number is (321) 751-2707.

What is Space Coast Vascular Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Space Coast Vascular Inc was last updated on September 22, 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.