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Organization
SPACE COAST INTERNAL MEDICINE & GERIATRIC LLC
Active
Organization
SPACE COAST INTERNAL MEDICINE & GERIATRIC LLC
Active
Other names
Space Coast Internal Medicine, FAIAZ M RASUL
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROMANELLO (COO)
(352) 459-3661
Entity
Organization
Contact information
Practice address
990 PALM ST, COCOA, FL 32927-5145
(321) 639-4243
(321) 639-4266
Mailing address
PO BOX 549, SHARPES, FL 32959-0549
(321) 639-4243
(321) 639-4266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME72416
FL
Other
Enumeration date
08/16/2006
Last updated
12/08/2025
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