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Space Coast Medical, LLC

Rehabilitation Clinic/Center in Barefoot Bay, FL · enumerated 2012 · authorized official Jason Lail, C.E.O..

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

National Provider Identifier

1376807511

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Registry record

Entity type Organization (Type 2)
Legal business name Space Coast Medical, LLC
Practice address 935 Barefoot Blvd, Bldg 1 Suite 2, Barefoot Bay, FL, 32976
Phone (321) 557-4667
Enumeration date Jul 3, 2012
Last updated in NPPES Jul 28, 2015

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License OS6898 (FL) Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0400X Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jason Lail
Title C.E.O.
Phone (321) 557-4667

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Space Coast Medical, LLC?
Space Coast Medical, LLC is registered in NPPES as a Rehabilitation Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-28.