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SPACE COAST SURGICAL ASSISTING LLC
NPI 1922404441
Physician Assistant - Surgical in Melbourne, FL

Active since November 11, 2014
749 MCDERMOTT AVE, MELBOURNE, FL 32935(321) 890-2022 Get Directions Write a Review

NPPES record last updated: November 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Space Coast Surgical Assisting Llc NPPES

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

SPACE COAST SURGICAL ASSISTING LLC (NPI 1922404441) is a healthcare organization registered as a surgical in Melbourne, Florida and active in the NPI registry since November 2014. The organization lists Michael A Dancy, Mgr, as its authorized official.

NPPES Registry Identity

NPI1922404441
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSPACE COAST SURGICAL ASSISTING LLC
Location Address749 MCDERMOTT AVEMelbourne, FL 32935-3038
Mailing Address1270 N Wickham Rd Ste 16-422Melbourne, FL 32935-8923 · (321) 890-2022
Phone(321) 890-2022
Organization SubpartNo
Authorized OfficialMichael A DancyMgr · (321) 890-2022
Enumeration DateNovember 11, 2014
✔ NPI 1922404441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
749 MCDERMOTT AVE, Melbourne, FL 32935
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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

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

MICHAEL DANCY CSFA, CST
Physician Assistant (Surgical)
749 MCDERMOTT AVE
MELBOURNE, FL 32935
Brevard County (321) 890-2022

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 Surgical Assisting LLC's NPI number?

The NPI number for Space Coast Surgical Assisting LLC is 1922404441. It was assigned to this organization in the NPPES registry on November 11, 2014.

Where is Space Coast Surgical Assisting LLC located?

Space Coast Surgical Assisting LLC is located at 749 Mcdermott Ave, Melbourne, FL 32935. The listed phone number is (321) 890-2022.

What is Space Coast Surgical Assisting LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Space Coast Surgical Assisting LLC was last updated on November 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.