NPI 1326147901

Space Coast Rheumatology & Arthritis Center PA

Organisation Rheumatology Physician Merritt Island, FL

Practice location

Address: 40 Fortenberry Road, Merritt Island, FL 32952
Phone: (321) 453-0779
Mailing address: 475 Indian Bay Blvd, Merritt Island, FL 32953

Authorised official

Name: Linda Elizabeth Salach
Title: Business Manager
Phone: (321) 759-8640

Registered specialties

Rheumatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RR0500X Licence OS 6549 (FL)

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Registry record

NPI: 1326147901
Entity type: Organization
NPI issued: 21 Sep 2006
Record last updated: 5 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.