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

Space Coast Nephrology Associates, PLLC

Organization Nephrology Physician · NPI 1821552696

Space Coast Nephrology Associates, PLLC is a Nephrology Physician in Melbourne, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

111 E Hibiscus Blvd
Melbourne, FL 32901-3102
Phone: (321) 768-3655
Fax: (321) 831-3024
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1821552696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tabitha Abraham — Practice Administrator · (321) 768-3655
NPI enumeratedJanuary 25, 2019
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021
Mailing address111 E Hibiscus Blvd, Melbourne, FL 32901-3102

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