SPACE COAST SURGICAL ASSISTING LLC is a surgical physician assistant in Melbourne, FL. SPACE COAST SURGICAL ASSISTING LLC NPI is 1922404441. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
749 MCDERMOTT AVE MELBOURNE, FL ZIP 32935-038 Phone: (321) 890-2022
The provider's authorized official is Michael A Dancy . The authorized official title is Mgr and has the following contact phone number (321) 890-2022.
The CLIA number assigned to this NPI record is 10D2280177 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/11/2014 and was last updated on 11/11/2014.
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:
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: 11/21/2025
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