Space Coast Volunteers in Medicine – General Practice Physician, NPI 1467712695

Space Coast Volunteers in Medicine is a healthcare provider. based in Palm bay, Florida. specializing in General Practice Physician. The organization holds a License No. ME0059801 (FL). The NPI Number for Space Coast Volunteers in Medicine is 1467712695

Main info

Organization
Name
Space Coast Volunteers in Medicine
NPI
1467712695
Phone
(321) 914-0915
Address
1460 BAYTREE DR NE
Authorized Official
MR. LEE ALLEN STOECKERT IT DIRECTOR
Enumeration Date
22 May 2012
Last Update Date
31 January 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness80
Years active:14State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Space Coast Volunteers in Medicine

  • 1460 BAYTREE DR NE

    PALM BAY, FL 329053900

    Phone: (321) 914-0915

    Fax: (321) 914-0916

    Type: Mailing

  • 2555 JUDGE FRAN JAMIESON WAY

    VIERA, FL 329405998

    Phone: (321) 639-5813

    Fax: (321) 637-7512

    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 32905)

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Reviews

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Frequently asked questions

What NPI should I save for Space Coast Volunteers in Medicine?
Save NPI 1467712695 if you need a stable reference for Space Coast Volunteers in Medicine.
Is Space Coast Volunteers in Medicine's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does Space Coast Volunteers in Medicine treat or focus on?
Patients typically see Space Coast Volunteers in Medicine under the specialty General Practice Physician. Clinical services aligned with this taxonomy classification.
What location shows for Space Coast Volunteers in Medicine?
We surface Palm Bay, Florida for Space Coast Volunteers in Medicine based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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