Organization
SPACE COAST MEDICAL ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LEVINE MD (MANAGING PARTNER)
(321) 454-9001
Entity
Organization
Contact information
Practice address
490 N WASHINGTON AVE, TITUSVILLE, FL 32796-2871
(311) 268-4200
Mailing address
490 N WASHINGTON AVE, TITUSVILLE, FL 32796-2871
(311) 268-4200
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253792300
—
FL
05
—
253792301
—
FL
05
—
253792303
—
FL
05
—
253792304
—
FL
05
—
253792305
—
FL
05
—
253792307
—
FL
01
—
6992550001
PTAN
FL
Enumeration date
05/01/2006
Last updated
07/29/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us