Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Space Coast Spine and Pain Institute LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1093388217

Space Coast Spine and Pain Institute LLC is a Pain Medicine (Anesthesiology) Physician in Melbourne, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 E Nasa Blvd Ste 200
Melbourne, FL 32901-1954
Phone: (321) 361-5619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X

Record details

NPI number1093388217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sonya Warnick — Administrator · (321) 432-5480
NPI enumeratedJuly 24, 2021
Last updated in NPPESJuly 24, 2021
Certification dateJuly 24, 2021
Mailing address285 Lansing Island Dr, Indian Harbour Beach, FL 32937-5102

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