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SPACE COAST MEDICAL CENTER
NPI 1982906582
Family Medicine in Titusville, FL

Active since December 02, 2010
3550 S WASHINGTON AVE, SUITE 24, TITUSVILLE, FL 32780(321) 269-5533(321) 269-3009 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Space Coast Medical Center NPPES

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

SPACE COAST MEDICAL CENTER (NPI 1982906582) is a healthcare organization registered as a family medicine in Titusville, Florida and active in the NPI registry since December 2010. The organization lists Mary Harrison, Vice President, as its authorized official.

NPPES Registry Identity

NPI1982906582
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPACE COAST MEDICAL CENTER
Location Address3550 S WASHINGTON AVE, SUITE 24Titusville, FL 32780-8627
Mailing Address3550 S Washington Ave, Suite 24Titusville, FL 32780-8627 · (321) 269-5533 · Fax (321) 269-3009
Phone(321) 269-5533
Fax(321) 269-3009
Organization SubpartNo
Authorized OfficialMary HarrisonVice President · (321) 269-5533
Enumeration DateDecember 2, 2010
✔ NPI 1982906582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3550 S WASHINGTON AVE, Titusville, FL 32780
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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 4

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

JACQUELINE E. ZERMENO O.D., P.A.
Optometrist
3550 S WASHINGTON AVE
TITUSVILLE, FL 32780
Brevard County (321) 268-9239
ECCI, LLC
Day Training, Developmentally Disabled Services
3550 S WASHINGTON AVE, SUITE 6
TITUSVILLE, FL 32780
Brevard County (321) 268-4388
ECCI, LLC
Day Training, Developmentally Disabled Services
3550 S WASHINGTON AVE, SUITE 6
TITUSVILLE, FL 32780
Brevard County (321) 268-4388
SPACE COAST PAIN RELIEF INC.
Health Maintenance Organization
3550 S WASHINGTON AVE, SUITE 24
TITUSVILLE, FL 32780
Brevard County (321) 269-5533

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 Center's NPI number?

The NPI number for Space Coast Medical Center is 1982906582. It was assigned to this organization in the NPPES registry on December 2, 2010.

Where is Space Coast Medical Center located?

Space Coast Medical Center is located at 3550 S Washington Ave Suite 24, Titusville, FL 32780. The listed phone number is (321) 269-5533.

What is Space Coast Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Space Coast Medical Center was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.