SPACE COAST PODIATRY LLC
NPI 1740037597
Podiatrist - Foot & Ankle Surgery in Palm Bay, FL

Q: What is Space Coast Podiatry LLC's NPI number?

The NPI number for Space Coast Podiatry LLC is 1740037597. It was assigned to this organization in the NPPES registry on April 30, 2024.

Q: What is Space Coast Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since April 30, 2024

6100 MINTON RD NW STE 101, PALM BAY, FL 32907(321) 802-4075 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, Jun 20, 2024, Apr 30, 2024 (3 updates tracked since 2024).

On this page

About Space Coast Podiatry Llc NPPES

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

SPACE COAST PODIATRY LLC (NPI 1740037597) is a healthcare organization registered as a foot & ankle surgery in Palm Bay, Florida and active in the NPI registry since April 2024. The organization lists Mark Allen Vaughn, Ceo/physician, as its authorized official.

NPPES Registry Identity

NPI1740037597

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameSPACE COAST PODIATRY LLC

Location Address6100 MINTON RD NW STE 101Palm Bay, FL 32907-1900

Mailing Address6100 Minton Rd Nw Ste 101Palm Bay, FL 32907-1900 · (321) 802-4075

Phone(321) 802-4075

Organization SubpartNo

Authorized OfficialMark Allen VaughnCeo/physician · (321) 802-4075

Enumeration DateApril 30, 2024

Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1740037597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

6100 MINTON RD NW STE 101, Palm Bay, FL 32907

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES

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

MARK VAUGHN DPM

Podiatrist (Foot & Ankle Surgery)

6100 MINTON RD NW STE 101
PALM BAY, FL 32907

Brevard County (321) 802-4075

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 Podiatry LLC's NPI number?

The NPI number for Space Coast Podiatry LLC is 1740037597. It was assigned to this organization in the NPPES registry on April 30, 2024.

Where is Space Coast Podiatry LLC located?

Space Coast Podiatry LLC is located at 6100 Minton Rd NW Ste 101, Palm Bay, FL 32907. The listed phone number is (321) 802-4075.

What is Space Coast Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Space Coast Podiatry LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Space Coast Podiatry LLC 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 Podiatry LLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.