Organization
SPACE COAST HEALTH CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARVIN LEWIS (CEO)
(321) 268-6836
Entity
Organization
Contact information
Practice address
951 N WASHINGTON AVE STE 100, TITUSVILLE, FL 32796-2163
(386) 852-9565
Mailing address
951 N WASHINGTON AVE STE 100, TITUSVILLE, FL 32796-2163
(386) 852-9565
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
02/08/2024
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