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Space Coast Cardiology Consultants
Specialist in Port St John, Florida
NPI 1225053176

Space Coast Cardiology Consultants is a Specialist based in Port St John, FL. Space Coast Cardiology Consultants practices in Port St John, FL. The NPI Number for Space Coast Cardiology Consultants is 1225053176 and holds a License No. ME0055762 (Florida).

The current practice location address for Space Coast Cardiology Consultants is 7139 North Highway Us # 1, Port St John, FL and can be reached out via phone at 321-635-8304 and via fax at 321-635-8252.

Location: 7139 North Highway Us # 1, Port St John, FL, 32927-5094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225053176
Provider Name
Space Coast Cardiology Consultants
Credential
Provider Entity Type
Organization
Address
7139 North Highway Us # 1, Port St John, FL, 32927-5094
Phone Number
321-635-8304
Fax Number
321-635-8252
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CL3045 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
7139 North Highway Us # 1
City
Port St John
State
Florida
Zip
32927-5094
Phone Number
321-635-8304
Fax Number
321-635-8252
person
Provider Business Mailing Address Details
Address
7139 North Highway Us # 1
City
Port St John
State
Florida
Zip
32927-5094
Phone Number
321-635-8304
Fax Number
321-635-8252
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0055762 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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