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

Space Coast Surgical Assisting LLC

Organization Surgical Physician Assistant · NPI 1922404441

Space Coast Surgical Assisting LLC is a Surgical Physician Assistant in Melbourne, Florida. Registered with an NPI since 2014.

In the registry since
2014
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

749 McDermott Ave
Melbourne, FL 32935-3038
Phone: (321) 890-2022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1922404441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Dancy — Mgr · (321) 890-2022
NPI enumeratedNovember 11, 2014
Last updated in NPPESNovember 11, 2014
Mailing address1270 N Wickham Rd Ste 16-422, Melbourne, FL 32935-8923

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