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SPACE COAST MEDICAL MANAGEMENT LLC
NPI 1881298768
Clinic/Center - Primary Care in Palm Bay, FL

Active since November 23, 2020
1840 ELDRON BLVD SE STE 2, PALM BAY, FL 32909(561) 523-3973 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Space Coast Medical Management Llc NPPES

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

SPACE COAST MEDICAL MANAGEMENT LLC (NPI 1881298768) is a healthcare organization registered as a primary care in Palm Bay, Florida and active in the NPI registry since November 2020. The organization lists Michael Husted, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881298768
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSPACE COAST MEDICAL MANAGEMENT LLC
Location Address1840 ELDRON BLVD SE STE 2Palm Bay, FL 32909-6871
Mailing Address1840 Eldron Blvd Se Ste 2Palm Bay, FL 32909-6871
Phone(561) 523-3973
Organization SubpartNo
Authorized OfficialMichael HustedCfo · (561) 523-3973
Enumeration DateNovember 23, 2020
NPPES CertifiedNovember 23, 2020
✔ NPI 1881298768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1840 ELDRON BLVD SE STE 2, Palm Bay, FL 32909
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Other Providers at the Same Location NPPES

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

FLORIDA HEALTH CARE OF BREVARD
Clinic/Center (Primary Care)
1840 ELDRON BLVD SE STE 2
PALM BAY, FL 32909
Brevard County (561) 523-3973

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 Management LLC's NPI number?

The NPI number for Space Coast Medical Management LLC is 1881298768. It was assigned to this organization in the NPPES registry on November 23, 2020.

Where is Space Coast Medical Management LLC located?

Space Coast Medical Management LLC is located at 1840 Eldron Blvd SE Ste 2, Palm Bay, FL 32909. The listed phone number is (561) 523-3973.

What is Space Coast Medical Management LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Space Coast Medical Management LLC was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.