SPACE HEALTH LLC


Address: 3800 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-3285
Phone: 3213233618

SPACE HEALTH LLC (NPI# 1487270831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487270831
Entity Type Organization
Organization Name SPACE HEALTH LLC
Practice Address 3800 W Eau Gallie Blvd Ste 101
Melbourne
FL 32934-3285
Mailing Address Po Box 24556
Jacksonville
FL 32241-4556
Practice Telephone 3213233618
Mailing Telephone 7863701111
Enumeration Date 2020-06-22
Last Update Date 2020-06-22
Authorized Official Name RAFAEL FOSS (OWNER)
Authorized Official Telephone 7863701111
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
N 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 3800 W EAU GALLIE BLVD STE 101
City MELBOURNE
State FL
Zip Code 32934-3285

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104336577 Peak Performance Medical Nurse Practitioner 3800 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-3285 2017-10-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013530419 Ryan Thomas Kammerdener Pharmacist 3003 Bay Wind Ct, Melbourne, FL 32934 2020-05-20
1558833731 Deborah J Gaffney Specialist/Technologist 3060 Kershaw Court, Melbourne, FL 32934 2018-12-27
1548703200 Damaris Escarment Counselor 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 2016-11-29
1447686324 Sarai Escarment Counselor 3550 W Eau Gallie Blvd, Melbourne, FL 32934 2013-09-23
1871874974 Felipe E. Dominguez, Md, Pa Clinical Medical Laboratory 3030 Venture Lane, Ste 108, Melbourne, FL 32934 2011-09-01
1376821637 Christine Natasha Williams Kelly Counselor 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 2011-08-03
1912203316 Sheryl Yatsko Physical Therapy Assistant 3303 Sarno Rd, Melbourne, FL 32934 2011-02-01
1255564191 Joy Cheryl Mullen Occupational Therapy Assistant 1890 Whispering Oaks Cir, West Melbourne, FL 32934 2009-08-26
1619031531 The Devereux Foundation Case Management 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 2006-12-22
1457456600 Jo A Kologlu Physical Therapist 5025 Smithfield Rd, Melbourne, FL 32934 2006-09-13
Find all providers in zip 32934

Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417277831 Mary Catherine Elliott Physical Medicine & Rehabilitation 3613 Quail Ct, Melbourne, FL 32904-9517 2010-06-08
1780108787 Meghan Ashley Simon Physical Medicine & Rehabilitation 205 E Nasa Blvd Ste 200, Melbourne, FL 32901-1954 2017-08-01
1336684182 Florida Pain & Rehabilitation Institute Inc Physical Medicine & Rehabilitation 308 S Harbor City Blvd Ste A, Melbourne, FL 32901-1500 2017-01-04
1518135888 Sherin Kamal Fetouh Physical Medicine & Rehabilitation 307 E New Haven Ave, Melbourne, FL 32901-4576 2008-02-20
1366463226 Jay E. Olsson, D.o., P.a. Physical Medicine & Rehabilitation 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 2006-07-23
1023041001 Loggerhead Medical LLC Physical Medicine & Rehabilitation 307 E New Haven Ave, Melbourne, FL 32901-4576 2006-07-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477161214 Radius Medical Center LLC Physical Medicine & Rehabilitation 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 2020-07-17
1912460874 Lags Spine and Sportscare Medical Centers, Inc. Physical Medicine & Rehabilitation 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 2019-04-08
1508320342 Grigory Pogrebinsky Md Pa Physical Medicine & Rehabilitation 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 2019-01-25
1235611815 Peter Danger Molina Physical Medicine & Rehabilitation 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 2018-08-30
1497246540 Restore Medical Partners Pllc Physical Medicine & Rehabilitation 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 2018-05-24
1568952240 South Florida Physical Medicine and Rehabilitation Center LLC Physical Medicine & Rehabilitation 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 2018-05-17
1235641655 Boca Pain Care, Inc Physical Medicine & Rehabilitation 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 2017-10-25
1558870477 Pain Control Solutions II LLC Physical Medicine & Rehabilitation 8323 Nw 12th Street, Suite 115, Miami, FL 33126 2017-09-22
1245759851 Chelsea Hakeem Physical Medicine & Rehabilitation 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 2017-09-14
1508384165 Destiny Therapy Center Inc Physical Medicine & Rehabilitation 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 2017-09-05
Find all providers with the same taxonomy

Competitor

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City MELBOURNE
Zip Code 32934

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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