SPACE COAST PSYCHIATRY INC NPI 1912316886

NPI Information

NPI: 1912316886
Provider Name: SPACE COAST PSYCHIATRY, INC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
503 N ORLANDO AVE
SUITE 201
COCOA BEACH, FL
ZIP 32931
Phone: (321) 613-5595
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SPACE COAST PSYCHIATRY, INC is a child and adolescent psychiatry psychiatry neurology in Cocoa Beach, FL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. SPACE COAST PSYCHIATRY, INC NPI is 1912316886. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

503 N ORLANDO AVE
SUITE 201
COCOA BEACH, FL
ZIP 32931-171
Phone: (321) 613-5595

The provider's authorized official is Joseph F Llinas .
The authorized official title is President and has the following contact phone number (321) 613-5595.

The enumeration date for this NPI number is 8/5/2014 and was last updated on 8/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	SW5028	FLORIDA	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	ME116732	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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