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

Space Coast Medical Consultants PLLC

Organization Internal Medicine Physician · NPI 1285429571

Space Coast Medical Consultants PLLC is an Internal Medicine Physician in Titusville, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

502 Garden St
Titusville, FL 32796-3405
Phone: (321) 621-0478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X

Record details

NPI number1285429571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gaurav Mathur — Ceo · (321) 621-0478
NPI enumeratedApril 9, 2025
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address502 Garden St, Titusville, FL 32796-3405

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