Organization
SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER PA
Active
Organization
SPACE COAST RHEUMATOLOGY & ARTHRITIS CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA ELIZABETH SALACH RPH (BUSINESS MANAGER)
(321) 759-8640
Entity
Organization
Contact information
Practice address
40 FORTENBERRY ROAD, MERRITT ISLAND, FL 32952
(321) 453-0779
Mailing address
475 INDIAN BAY BLVD, MERRITT ISLAND, FL 32953
(321) 759-8640
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
OS 6549
FL
Other
Enumeration date
09/21/2006
Last updated
10/05/2010
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