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1144274358
SPACE COAST HEALTH CARE SERVICES
MELBOURNE, FL
NPI
1144274358
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Entity Type
Organization
Authorized Contact
MICHAEL ALAN SHAPIRO
Chief Executive Officer
321-254-6218
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-05-20
Last Update Date
2020-08-22
Business Address
SPACE COAST HEALTH CARE SERVICES
2080 W EAU GALLIE BLVD SUITE A
MELBOURNE, FL 32935-3185
Phone number: 321-254-6218
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Mailing Address
SPACE COAST HEALTH CARE SERVICES
2080 W EAU GALLIE BLVD SUITE A
MELBOURNE, FL 32935-3185
Phone number: 321-254-6218
Copy
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