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

Space Coast Medicine

Organization Internal Medicine Physician · NPI 1245931419

Space Coast Medicine is an Internal Medicine Physician in Melbourne Beach, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

310 Avenue A
Melbourne Beach, FL 32951-2201
Phone: (850) 544-0142
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1245931419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Herzog — Md · (850) 544-0142
NPI enumeratedMarch 15, 2023
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023
Mailing addressPo Box 510195, Melbourne Beach, FL 32951-0195