# SPACE COAST PSYCHIATRY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912316886
- **Authorized official:** DR. JOSEPH F LLINAS MD (PRESIDENT)
- **Authorized official phone:** (321) 613-5595

## Contact information

- **Practice address:** 503 N ORLANDO AVE, SUITE 201, COCOA BEACH, FL 32931-3171
- **Practice address phone:** (321) 613-5595
- **Mailing address:** 503 N ORLANDO AVE, SUITE 201, COCOA BEACH, FL 32931-3171
- **Mailing address phone:** (321) 613-5595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | SW5028 | FL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | ME116732 | FL | Yes |

## Other

- **Enumeration date:** 08/05/2014
- **Last updated:** 08/05/2014