SC
SPACE COAST SURGERY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
MERRITT ISLAND, FL
Licensed since
2009
Rate
—
Federal identifiers
NPI registry number1164662912
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients931
Authorized official
NameJENNIFER BALDOCK
TitleOFFICER AND AUTHORIZED OFFICIAL
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