Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SPACE COAST LYMPHEDEMA CLINIC LLC
Active
Organization
SPACE COAST LYMPHEDEMA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSANNE BESSENAIRE PT (CEO)
(321) 241-6543
Entity
Organization
Contact information
Practice address
7000 SPYGLASS CT., SUITE 120, VIERA, FL 32940
(321) 241-6543
(321) 241-6513
Mailing address
7000 SPYGLASS CT., SUITE 120, VIERA, FL 32940
(321) 241-6543
(321) 241-6513
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT14733
FL
225X00000X
Occupational Therapist
OT12356
FL
Other
Enumeration date
11/12/2014
Last updated
04/25/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up