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Space Coast Radiology Associates

Diagnostic Radiology Physician in Titusville, FL · enumerated 2006 · authorized official Joseph Flynn, Vice President.

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

National Provider Identifier

1396794566

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Registry record

Entity type Organization (Type 2)
Legal business name Space Coast Radiology Associates
Practice address 951 N Washington Ave, Titusville, FL, 32796
Enumeration date May 8, 2006
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Joseph Flynn
Title Vice President

Other identifiers

Identifier Type State Issuer
00250 Other FL BCBS PROVIDER NUMBER
056061802 Medicaid FL -
CK0840 Other FL RR MEDICARE
056061803 Medicaid FL -
056061800 Medicaid FL -
056061801 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

Where is Space Coast Radiology Associates located?
The practice location on file with NPPES is in Titusville, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.