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

Space Coast Medical Center

Organization Family Medicine Physician · NPI 1982906582

Space Coast Medical Center is a Family Medicine Physician in Titusville, Florida. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

3550 S Washington Ave Ste 24
Titusville, FL 32780-8627
Phone: (321) 269-5533
Fax: (321) 269-3009
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1982906582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Harrison — Vice President · (321) 269-5533
NPI enumeratedDecember 2, 2010
Last updated in NPPESDecember 2, 2010
Mailing address3550 S Washington Ave, Suite 24, Titusville, FL 32780-8627

Other providers in Titusville