institution
Space Coast Radiology Associates
Diagnostic Radiology Physician in Titusville, Florida
NPI 1396794566

Space Coast Radiology Associates is a Diagnostic Radiology Physician based in Indianapolis, FL and is specialized in Diagnostic Radiology. Space Coast Radiology Associates practices in Titusville, FL. The NPI Number for Space Coast Radiology Associates is 1396794566 and holds a License No. (Florida).

The current practice location address for Space Coast Radiology Associates is 951 N Washington Ave, Titusville, FL and can be reached out via phone at 321-268-6192.

Location: 951 N Washington Ave, Titusville, FL, 46206-3148
institution
Provider Profile Details
NPI Number
1396794566
Provider Name
Space Coast Radiology Associates
Credential
Provider Entity Type
Organization
Address
951 N Washington Ave, Titusville, FL, 46206-3148
Phone Number
321-268-6192
Fax Number
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00250 01 FL BCBS PROVIDER NUMBER
056061802 05 FL
CK0840 01 FL RR MEDICARE
056061803 05 FL
056061800 05 FL
056061801 05 FL
institution
Provider Business Practice Location Address Details
Address
951 N Washington Ave
City
State
Zip
32796-2163
Phone Number
321-268-6192
Fax Number
person
Provider Business Mailing Address Details
Address
951 N Washington Ave
City
State
Zip
32796-2163
Phone Number
321-268-6192
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
(Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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