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1982906582
SPACE COAST MEDICAL CENTER
TITUSVILLE, FL
NPI
1982906582
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Entity Type
Organization
Authorized Contact
MARY HARRISON
Vice President
321-269-5533
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-12-02
Last Update Date
2010-12-02
Business Address
SPACE COAST MEDICAL CENTER
3550 S WASHINGTON AVE SUITE 24
TITUSVILLE, FL 32780-8627
Phone number: 321-269-5533
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Mailing Address
SPACE COAST MEDICAL CENTER
3550 S WASHINGTON AVE SUITE 24
TITUSVILLE, FL 32780-8627
Phone number: 321-269-5533
Copy
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