SPACE COAST MEDICAL ASSOCIATES PA (NPI# 1164972782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164972782 |
| Entity Type | Organization |
| Organization Name | SPACE COAST MEDICAL ASSOCIATES PA |
| Practice Address |
1600 Sarno Rd Ste 21 Melbourne FL 32935-4992 |
| Mailing Address |
Po Box 128 Bellaire TX 77402-0128 |
| Practice Telephone | 3213455100 |
| Practice Fax Number | 8889443303 |
| Mailing Telephone | 3213455100 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | ALDINO CELLINI (PRESIDENT) |
| Authorized Official Telephone | 3213455100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME89938 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1600 SARNO RD STE 21 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-4992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205817053 | Aldino G Cellini | Internal Medicine | 1600 Sarno Rd Ste 21, Melbourne, FL 32935-4992 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902144876 | Ralph M Vicari Md LLC | Internal Medicine | 1437 Pineapple Ave Apt 802, Melbourne, FL 32935-6591 | 2013-01-28 |
| 1932149960 | Chris K Finton | Internal Medicine | 1355 S Hickory St, Suite 202, Melbourne, FL 32901-3228 | 2006-06-07 |
| 1609851245 | James M. Ronaldson | Internal Medicine | 8725 N Wickham Rd Ste 302, Melbourne, FL 32940-2240 | 2005-12-07 |
| 1205817053 | Aldino G Cellini | Internal Medicine | 1600 Sarno Rd Ste 21, Melbourne, FL 32935-4992 | 2005-11-09 |
| 1417938382 | Lewis C Bean | Internal Medicine | 1600 W Eau Gallie Blvd Suite 102, Melbourne, FL 32935 | 2005-11-08 |
| 1225030513 | Darlene Go Popat | Internal Medicine | 240 N Wickham Rd Ste 202, Melbourne, FL 32935-8660 | 2005-06-01 |
| 1104829050 | Kevin B Chapin | Internal Medicine | 1314 Pine St, Melbourne, FL 32901-3117 | 2005-05-24 |
| 1053681924 | Institute for Health Care, LLC | Internal Medicine | 930 S Harbor City Blvd, 100, Melbourne, FL 32901-1963 | 2012-01-09 |
| 1962717058 | Melbourne Hma Medical Group, LLC | Internal Medicine | 8055 Spyglass Hill Rd, Melbourne, FL 32940-8564 | 2010-08-12 |
| 1265760425 | Cardiology Associates of Brevard LLC | Internal Medicine | 240 N Wickham Rd, Suite 108, Melbourne, FL 32935-8662 | 2009-11-30 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.