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Contact Information

SPACE COAST ANESTHESIA SERVICES LLC
595 N COURTENAY PKWY
103
MERRITT ISLAND, FL32953
 Phone: 813-569-6500
 Fax: 813-569-6262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for SPACE COAST ANESTHESIA SERVICES LLC · (Female)

NPI Number 1942441753
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2009
Last updated 05/25/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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