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Contact Information

SPACECOASTPOP LLC
601 E STRAWBRIDGE AVE
MELBOURNE, FL32901-4733
 Phone: 321-301-0411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Contact Lens Fitter

156FC0801X
Indicates primary specialty

NPI Profile & details for SPACECOASTPOP LLC · (Female)

NPI # 1023807716
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2025
Last updated 05/01/2025 - More than a year 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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