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

Space Coast Dermatology Clinic, PLLC

Organization Clinic/Center · NPI 1043423189

Space Coast Dermatology Clinic, PLLC is a Clinic/Center in Merritt Island, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

695 Cone Park Ct
Merritt Island, FL 32952-3755
Phone: (321) 453-3360
Fax: (321) 453-4586
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1043423189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Earhart — Partner · (321) 453-3360
NPI enumeratedMay 7, 2007
Last updated in NPPESNovember 18, 2010
Mailing address695 Cone Park Ct, Merritt Island, FL 32952-3755

Other providers in Merritt Island