Space Coast Advanced Practice Consultants Llc

LBN: Space Coast Advanced Practice Consultants Llc
Space Coast Advanced Practice Consultants Llc is an health care organization with primary practice located at 115 Hickory St Ste 204 , Melbourne FL 32904-3505. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Space Coast Advanced Practice Consultants Llc can be contacted via phone (321) 795-7386, or through Cannion, Lakeecia via phone (321) 795-7386.

Contact Information

Primary practice address
115 Hickory St Ste 204 Melbourne FL 32904-3505
Phone: (321) 795-7386
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cannion, Lakeecia APRN-C
Phone: (321) 795-7386

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1477177004
LBN Legal business name Space Coast Advanced Practice Consultants Llc
DBA Doing business as
Authorized official Cannion, Lakeecia APRN-C
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2020
Last updated May 29th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477177004 NPPES
Florida MEDICAID 016947100

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