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Space Coast Dermatology Clinic, Pllc
Clinic/Center in Merritt Island, Florida
NPI 1043423189

Space Coast Dermatology Clinic, Pllc is a Clinic/Center based in Merritt Island, FL. Space Coast Dermatology Clinic, Pllc practices in Merritt Island, FL. The NPI Number for Space Coast Dermatology Clinic, Pllc is 1043423189 and holds a License No. (Florida).

The current practice location address for Space Coast Dermatology Clinic, Pllc is 695 Cone Park Ct, Merritt Island, FL and can be reached out via phone at 321-453-3360 and via fax at 321-453-4586.

Location: 695 Cone Park Ct, Merritt Island, FL, 32952-3755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043423189
Provider Name
Space Coast Dermatology Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
695 Cone Park Ct, Merritt Island, FL, 32952-3755
Phone Number
321-453-3360
Fax Number
321-453-4586
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
695 Cone Park Ct
City
Merritt Island
State
Florida
Zip
32952-3755
Phone Number
321-453-3360
Fax Number
321-453-4586
person
Provider Business Mailing Address Details
Address
695 Cone Park Ct
City
Merritt Island
State
Florida
Zip
32952-3755
Phone Number
321-453-3360
Fax Number
321-453-4586
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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