SPACE COAST SURGICAL CENTER LTD (NPI# 1437112455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437112455 |
| Entity Type | Organization |
| Organization Name | SPACE COAST SURGICAL CENTER LTD |
| Other Organization Name | MERRITT ISLAND SURGERY CENTER |
| Practice Address |
220 N Sykes Creek Pkwy Suite 101 Merritt Island FL 32953-3490 |
| Practice Telephone | 3214590015 |
| Practice Fax Number | 3214592291 |
| Mailing Telephone | 3214590015 |
| Mailing Fax Number | 3214592291 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2016-03-28 |
| Authorized Official Name | CYNTHIA A JOHNSON (ADMINISTRATOR) |
| Authorized Official Telephone | 3214590015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
984 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 079154700 | 05 |
| Other Name | Type Code |
|---|---|
| Merritt Island Surgery Center | Doing Business As Name - Organization |
| Street Address |
220 N SYKES CREEK PKWY SUITE 101 |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32953-3490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649547084 | Orthopedic Associates, Pa | Orthopaedic Surgery | 220 N Sykes Creek Pkwy, Suite 200, Merritt Island, FL 32953-3489 | 2011-11-30 |
| 1538392287 | James Earl Poppell Jr. | Physical Therapist | 220 N Sykes Creek Pkwy, Suite 300, Merritt Island, FL 32953-3490 | 2009-08-28 |
| 1689855678 | Renee Nicole Reynolds | Physical Therapy Assistant | 220 N Sykes Creek Pkwy, Suite 200, Merritt Island, FL 32953-3490 | 2007-11-18 |
| 1508917758 | Nadine Rose De Freitas | Physical Therapist | 220 N Sykes Creek Pkwy, Suite 200, Merritt Island, FL 32953-3490 | 2007-01-15 |
| 1679622336 | Michael Delk | Specialist | 220 N Sykes Creek Pkwy, Suite 1, Merritt Island, FL 32953-3490 | 2007-01-10 |
| 1548336928 | Anthony Devinney | Physical Therapist | 220 N Sykes Creek Pkwy, Merritt Island, FL 32953-3490 | 2006-11-28 |
| 1265541445 | Susan Willard | Physical Therapist | 220 N Sykes Creek Pkwy, Ste 300, Merritt Island, FL 32953-3490 | 2006-08-30 |
| 1174633895 | Brian Rye | Specialist/Technologist | 220 N Sykes Creek Pkwy, Ste 300, Merritt Island, FL 32953-3490 | 2006-08-30 |
| 1144338021 | Monica James | Physical Therapist | 220 N Sykes Creek Pkwy, Ste 300, Merritt Island, FL 32953-3490 | 2006-08-29 |
| 1720195357 | Warren Chinyanganya | Physical Therapist | 220 N Sykes Creek Pkwy, Merritt Island, FL 32953-3490 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
| 1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
| 1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
| 1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
| 1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
| 1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
| 1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
| 1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
| Find all providers in zip 32953 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335458 | Merritt Island Outpatient Surgery Center, LLC | Clinic/Center | 450 E Merritt Island Cswy Ste 400, Merritt Island, FL 32952 | 2018-08-10 |
| 1912952144 | Merritt Island Asc LLC | Clinic/Center | 2400 N Courtenay Pkwy, Suite 2, Merritt Island, FL 32953-4127 | 2006-05-24 |
| 1164662912 | Space Coast Surgery Center LLC | Clinic/Center | 595 N Courtenay Pkwy, 103, Merritt Island, FL 32953-4851 | 2009-03-05 |
| 1750313144 | Ambulatory Surgical Care, LLC | Clinic/Center | 1045 N Courtenay Pkwy, Merritt Island, FL 32953-4531 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
| 1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
Please comment or provide details below to improve the information on SPACE COAST SURGICAL CENTER LTD.
| 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.