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Space Coast Urology, LLC

Specialist in Titusville, FL · enumerated 2007 · authorized official Justo Gonzalez, Urologist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336337690

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Registry record

Entity type Organization (Type 2)
Legal business name Space Coast Urology, LLC
Other name <Unavail>
Practice address 2203 Garden St, Titusville, FL, 32796
Fax (321) 268-4696
Enumeration date Oct 11, 2007
Last updated in NPPES Mar 13, 2009

Taxonomy & classification

174400000X Specialist Other Service Providers · License ME67177 (FL) Primary

Authorized official

Name Justo Gonzalez
Title Urologist

Other identifiers

Identifier Type State Issuer
271696800 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Space Coast Urology, LLC?
The NPI for Space Coast Urology, LLC is 1336337690, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Space Coast Urology, LLC?
NPPES lists Justo Gonzalez (Urologist) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-03-13.