SPACE COAST MEDICAL MANAGEMENT LLC

PALM BAY, FL
NPI1881298768
Entity TypeOrganization
Authorized ContactMICHAEL HUSTED
CFO
561-523-3973
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2020-11-23
Last Update Date2020-11-23
Business Address
SPACE COAST MEDICAL MANAGEMENT LLC
1840 ELDRON BLVD SE STE 2
PALM BAY, FL 32909-6871
Phone number: 561-523-3973
Mailing Address
SPACE COAST MEDICAL MANAGEMENT LLC
1840 ELDRON BLVD SE STE 2
PALM BAY, FL 32909-6871
Phone number: