SPACECOAST INTERNAL MEDICINE AND GERITRIC CORP

COCOA, FL
NPI1649383720
Entity TypeOrganization
Authorized ContactFAIAZ M RASUL
Owner
321-639-4243
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  ME72416)
Enumeration Date2006-08-16
Last Update Date2011-05-12
Business Address
SPACECOAST INTERNAL MEDICINE AND GERITRIC CORP
990 PALM ST
COCOA, FL 32927-5145
Phone number: 321-639-4243
Mailing Address
SPACECOAST INTERNAL MEDICINE AND GERITRIC CORP
PO BOX 549
SHARPES, FL 32959-0549
Phone number: 321-639-4243
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