Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Space Coast Cardiology Consultants

Organization Cardiovascular Disease Physician · NPI 1225053176

Space Coast Cardiology Consultants is a Cardiovascular Disease Physician in Port St John, Florida. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

7139 N Highway US # 1
Port St John, FL 32927-5094
Phone: (321) 635-8304
Fax: (321) 635-8252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1225053176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurie Holland — Administrator · (352) 362-4223
NPI enumeratedJuly 13, 2006
Last updated in NPPESApril 7, 2025
Certification dateMarch 25, 2025
Mailing address7139 North Highway Us # 1, Port St John, FL 32927-5094

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