SPACE COAST ADVANCED PRACTICE CONSULTANTS LLC

MELBOURNE, FL
NPI1477177004
Entity TypeOrganization
Authorized ContactLAKEECIA CANNION
Owner
321-795-7386
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2020-05-29
Last Update Date2020-05-29
Business Address
SPACE COAST ADVANCED PRACTICE CONSULTANTS LLC
115 HICKORY ST STE 204
MELBOURNE, FL 32904-3505
Phone number: 321-795-7386
Mailing Address
SPACE COAST ADVANCED PRACTICE CONSULTANTS LLC
1838 WADENA ST NW
PALM BAY, FL 32907-8511
Phone number: 321-795-7386
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