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Space Coast Surgical Center Ltd

Ambulatory Surgical Clinic/Center in Merritt Island, FL · enumerated 2006 · authorized official Cynthia Johnson, Administrator.

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

National Provider Identifier

1437112455

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Registry record

Entity type Organization (Type 2)
Legal business name Space Coast Surgical Center Ltd
Other name <Unavail>
Practice address 220 N Sykes Creek Pkwy, Suite 101, Merritt Island, FL, 32953
Fax (321) 459-2291
Enumeration date Apr 10, 2006
Last updated in NPPES Mar 28, 2016

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 984 (FL) Primary

Authorized official

Name Cynthia Johnson
Title Administrator

Other identifiers

Identifier Type State Issuer
079154700 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-03-28. Verify at npiregistry.cms.hhs.gov.
Where is Space Coast Surgical Center Ltd located?
The practice location on file with NPPES is in Merritt Island, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-28.