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Space Coast Urology, Llc
Specialist in Titusville, Florida
NPI 1336337690

Space Coast Urology, Llc is a Specialist based in Titusville, FL. Space Coast Urology, Llc practices in Titusville, FL. The NPI Number for Space Coast Urology, Llc is 1336337690 and holds a License No. ME67177 (Florida).

The current practice location address for Space Coast Urology, Llc is 2203 Garden St, Titusville, FL and can be reached out via phone at 321-268-4693 and via fax at 321-268-4696.

Location: 2203 Garden St, Titusville, FL, 32796-2577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336337690
Provider Name
Space Coast Urology, Llc
Credential
Provider Entity Type
Organization
Address
2203 Garden St, Titusville, FL, 32796-2577
Phone Number
321-268-4693
Fax Number
321-268-4696
Provider Enumeration Date
10/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
271696800 05 FL
institution
Provider Business Practice Location Address Details
Address
2203 Garden St
City
Titusville
State
Florida
Zip
32796-2577
Phone Number
321-268-4693
Fax Number
321-268-4696
person
Provider Business Mailing Address Details
Address
2203 Garden St
City
Titusville
State
Florida
Zip
32796-2577
Phone Number
321-268-4693
Fax Number
321-268-4696
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME67177 (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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