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Space Coast Medical Associates Llp
Hematology & Oncology Physician in Titusville, Florida
NPI 1558329581

Space Coast Medical Associates Llp is a Hematology & Oncology Physician based in Titusville, FL and is specialized in Hematology & Oncology. Space Coast Medical Associates Llp practices in Titusville, FL. The NPI Number for Space Coast Medical Associates Llp is 1558329581 and holds a License No. (Florida).

The current practice location address for Space Coast Medical Associates Llp is 490 N Washington Ave, Titusville, FL and can be reached out via phone at 311-268-4200.

Location: 490 N Washington Ave, Titusville, FL, 32796-2871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558329581
Provider Name
Space Coast Medical Associates Llp
Credential
Provider Entity Type
Organization
Address
490 N Washington Ave, Titusville, FL, 32796-2871
Phone Number
311-268-4200
Fax Number
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
253792307 05 FL
253792301 05 FL
253792305 05 FL
6992550001 01 FL PTAN
253792304 05 FL
253792300 05 FL
253792303 05 FL
institution
Provider Business Practice Location Address Details
Address
490 N Washington Ave
City
Titusville
State
Florida
Zip
32796-2871
Phone Number
311-268-4200
Fax Number
person
Provider Business Mailing Address Details
Address
490 N Washington Ave
City
Titusville
State
Florida
Zip
32796-2871
Phone Number
311-268-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
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Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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