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

Space Coast Surgery LLC

Organization Surgery Physician · NPI 1760622526

Space Coast Surgery LLC is a Surgery Physician in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
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

8255 N Wickham Rd Ste 102
Melbourne, FL 32940-8202
Phone: (321) 242-7060
Fax: (321) 242-6050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME 96869 (FL)

Record details

NPI number1760622526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chinmay Majmundar — Physcian/Owner · (321) 242-7060
NPI enumeratedMarch 5, 2009
Last updated in NPPESAugust 26, 2014
Mailing address8255 N Wickham Rd, Suite 102, Melbourne, FL 32940-8202

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