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

Space Coast Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1164662912

Space Coast Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Merritt Island, Florida. Registered with an NPI since 2009.

In the registry since
2009
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

595 N Courtenay Pkwy 103
Merritt Island, FL 32953-4851
Phone: (813) 569-6500
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1164662912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Baldock — Officer And Authorized Official · (615) 234-5954
NPI enumeratedMarch 5, 2009
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022
Mailing address595 N Courtenay Pkwy Ste 103, Merritt Island, FL 32953-4852

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