Space Coast Dermatology Clinic, PLLC
NPI 1043423189 · Clinic/Center · Merritt Island, FL
Space Coast Dermatology Clinic, PLLC is a Clinic/Center organization in Merritt Island, FL (NPI 1043423189).
Provider details
- NPI number
- 1043423189
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Earhart, Partner(321) 453-3360
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2010-11-18
Frequently asked questions
- What is Space Coast Dermatology Clinic, PLLC's NPI number?
- Space Coast Dermatology Clinic, PLLC's National Provider Identifier (NPI) is 1043423189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Space Coast Dermatology Clinic, PLLC?
- Space Coast Dermatology Clinic, PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Space Coast Dermatology Clinic, PLLC located?
- Space Coast Dermatology Clinic, PLLC's practice location on file with NPPES is 695 Cone Park Ct, Merritt Island, FL 32952-3755.
- What is Space Coast Dermatology Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Space Coast Dermatology Clinic, PLLC is (321) 453-3360.
- Who is the authorized official for Space Coast Dermatology Clinic, PLLC?
- The authorized official listed on Space Coast Dermatology Clinic, PLLC's NPPES record is James Earhart, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Space Coast Dermatology Clinic, PLLC's NPI active?
- Yes — Space Coast Dermatology Clinic, PLLC's NPI (1043423189) is active in the NPPES registry as of the last update on 2010-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.