SPACE COAST ENDOCRINOLOGY LLC – Endocrinology, Diabetes & Metabolism Physician, NPI 1376682559

SPACE COAST ENDOCRINOLOGY LLC is a healthcare provider. based in Merritt island, Florida. specializing in Endocrinology, Diabetes & Metabolism Physician. The NPI Number for SPACE COAST ENDOCRINOLOGY LLC is 1376682559

Main info

Organization
Name
SPACE COAST ENDOCRINOLOGY LLC
NPI
1376682559
Phone
(321) 449-4168
Address
150 N SYKES CREEK PKWY
Authorized Official
SANDI LAROCHE MSO CREDENTIALING COORDINATOR
Enumeration Date
5 February 2007
Last Update Date
28 April 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for SPACE COAST ENDOCRINOLOGY LLC

  • 150 N SYKES CREEK PKWY

    SUITE 300

    MERRITT ISLAND, FL 329533488

    Phone: (321) 449-4168

    Fax: (321) 449-4164

    Type: Mailing

  • 835 EXECUTIVE LN

    SUITE 110

    ROCKLEDGE, FL 329558068

    Phone: (321) 638-2075

    Fax: (321) 638-2234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32953)

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Frequently asked questions

Does SPACE COAST ENDOCRINOLOGY LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SPACE COAST ENDOCRINOLOGY LLC uses 1376682559.
Does CMS list SPACE COAST ENDOCRINOLOGY LLC as active?
Yes — SPACE COAST ENDOCRINOLOGY LLC is active in the NPI listing used on this page.
What is SPACE COAST ENDOCRINOLOGY LLC best known for clinically?
Directory data describes SPACE COAST ENDOCRINOLOGY LLC with Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where is SPACE COAST ENDOCRINOLOGY LLC based?
SPACE COAST ENDOCRINOLOGY LLC is tied to Merritt Island, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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