SPACE COAST MEDICAL, LLC – Rehabilitation Clinic/Center, NPI 1376807511

Rehabilitation Clinic/Center

SPACE COAST MEDICAL, LLC is a healthcare provider. based in Barefoot bay, Florida. specializing in Rehabilitation Clinic/Center. The organization holds a License No. OS6898 (FL). The NPI Number for SPACE COAST MEDICAL, LLC is 1376807511

Main info

Organization

Name

SPACE COAST MEDICAL, LLC

NPI

1376807511

Phone

(321) 557-4667

Address

935 BAREFOOT BLVD

Authorized Official

JASON LAIL C.E.O.

Enumeration Date

3 July 2012

Last Update Date

28 July 2015

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience50

Completeness75

Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for SPACE COAST MEDICAL, LLC

935 BAREFOOT BLVD
BLDG 1 SUITE 2
BAREFOOT BAY, FL 329767620
Phone: (321) 557-4667
Type: Location
4295 N US HIGHWAY 1
MELBOURNE, FL 329354822
Phone: (321) 557-4667
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 32976)

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Reviews

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Frequently asked questions

What number should I use to identify SPACE COAST MEDICAL, LLC for billing?

Administrative and clinical systems typically use NPI 1376807511 for SPACE COAST MEDICAL, LLC.

Is SPACE COAST MEDICAL, LLC's NPI status active today?

Active status means SPACE COAST MEDICAL, LLC's NPI record is not deactivated in the public file.

What does the directory say SPACE COAST MEDICAL, LLC does?

Insurance directories may phrase it differently, but here SPACE COAST MEDICAL, LLC maps to Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.

Is SPACE COAST MEDICAL, LLC tied to Barefoot Bay, Florida?

If you are local to Barefoot Bay, Florida, SPACE COAST MEDICAL, LLC may be relevant to your search.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.