Space Coast Cardiology Consultants
NPI 1225053176 · Cardiovascular Disease Physician · Port St John, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Space Coast Cardiology Consultants is a Cardiovascular Disease Physician organization in Port St John, FL (NPI 1225053176).
Provider details
- NPI number
- 1225053176
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laurie Holland, Administrator(352) 362-4223
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-07-13
- Last updated
- 2025-04-07
- Certified
- 2025-03-25
Frequently asked questions
- What is Space Coast Cardiology Consultants's NPI number?
- Space Coast Cardiology Consultants's National Provider Identifier (NPI) is 1225053176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Space Coast Cardiology Consultants?
- Space Coast Cardiology Consultants is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Space Coast Cardiology Consultants located?
- Space Coast Cardiology Consultants's practice location on file with NPPES is 7139 North Highway US # 1, Port St John, FL 32927-5094.
- What is Space Coast Cardiology Consultants's phone number?
- The practice phone number listed in the NPPES registry for Space Coast Cardiology Consultants is (321) 635-8304.
- Does Space Coast Cardiology Consultants accept Medicare?
- Space Coast Cardiology Consultants is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Space Coast Cardiology Consultants?
- The authorized official listed on Space Coast Cardiology Consultants's NPPES record is Laurie Holland, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Space Coast Cardiology Consultants's NPI active?
- Yes — Space Coast Cardiology Consultants's NPI (1225053176) is active in the NPPES registry as of the last update on 2025-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.