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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

NPI Number 1942441753
LBN Legal business name SPACE COAST ANESTHESIA SERVICES LLC
Authorized official JEFF PARKS - (SENIOR VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2009
Last updated 05/25/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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