SPACE COAST PODIATRY LLC

PALM BAY, FL
NPI1740037597
Entity TypeOrganization
Authorized ContactMARK ALLEN VAUGHN
CEO/Physician
321-802-4075
Organization Subpart ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
Enumeration Date2024-04-30
Last Update Date2024-09-09
Business Address
SPACE COAST PODIATRY LLC
6100 MINTON RD NW STE 101
PALM BAY, FL 32907-1900
Phone number: 321-802-4075
Mailing Address
SPACE COAST PODIATRY LLC
6100 MINTON RD NW STE 101
PALM BAY, FL 32907-1900
Phone number: 321-802-4075
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