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

Space Coast Internal Medicine & Geriatric LLC

Organization Internal Medicine Physician · NPI 1649383720

Space Coast Internal Medicine & Geriatric LLC is an Internal Medicine Physician in Cocoa, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

990 Palm St
Cocoa, FL 32927-5145
Phone: (321) 639-4243
Fax: (321) 639-4266
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME72416 (FL)

Record details

NPI number1649383720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Romanello — Coo · (352) 459-3661
Other names Space Coast Internal Medicine; Faiaz M Rasul
NPI enumeratedAugust 16, 2006
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing addressPo Box 549, Sharpes, FL 32959-0549

Other providers in Cocoa