Organization
SPACE COAST NEPHROLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA ABRAHAM (PRACTICE ADMINISTRATOR)
(321) 768-3655
Entity
Organization
Contact information
Practice address
111 E HIBISCUS BLVD, MELBOURNE, FL 32901-3102
(321) 768-3655
(321) 831-3024
Mailing address
111 E HIBISCUS BLVD, MELBOURNE, FL 32901-3102
(321) 768-3655
(321) 831-3024
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
08/02/2021
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