Organization
SPACE COAST PSYCHIATRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH F LLINAS MD (PRESIDENT)
(321) 613-5595
Entity
Organization
Contact information
Practice address
503 N ORLANDO AVE, SUITE 201, COCOA BEACH, FL 32931-3171
(321) 613-5595
Mailing address
503 N ORLANDO AVE, SUITE 201, COCOA BEACH, FL 32931-3171
(321) 613-5595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW5028
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME116732
FL
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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