Space Coast Assisted Living Llc

Specialty details in registry · Titusville, FL

Call (321) 567-4191 Directions

At a glance

1832 Country Club Dr, Titusville, FL 32780-5346

NPPES record updated Oct 18, 2021. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1832 Country Club Dr
Titusville, FL 32780-5346
Professional details: NPI, taxonomy & registry record
NPI1629731591
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
310400000X
Enumeration date
Oct 18, 2021
Record updated
Oct 18, 2021
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

310400000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1832 Country Club Dr
Titusville, FL 32780-5346
Phone
(321) 567-4191
Fax
(888) 335-7714
Mailing address
1832 COUNTRY CLUB DR

TITUSVILLE, FL 327805346
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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