Space Coast Podiatry Llc

LBN: Space Coast Podiatry Llc
Space Coast Podiatry Llc is an health care organization with primary practice located at 6100 Minton Rd Nw Ste 101 , Palm Bay FL 32907-1900. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Space Coast Podiatry Llc can be contacted via phone (321) 749-3623, or through Vaughn, Mark Allen via phone (321) 749-3623.

Contact Information

Primary practice address
6100 Minton Rd Nw Ste 101 Palm Bay FL 32907-1900
Phone: (321) 749-3623
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Mark Allen Doctor of Podiatric Medicine (DPM)
Phone: (321) 749-3623

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1740037597
LBN Legal business name Space Coast Podiatry Llc
DBA Doing business as
Authorized official Vaughn, Mark Allen Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2024
Last updated Jun 20th, 2024 - about 2 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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