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NPI 1336337690

OrganizationActive

Space Coast Urology, LLC

NPI 1336337690 · Specialist · Titusville, FL

Provider details

NPI number: 1336337690
Entity type: Organization
Primary specialty: SpecialistOther Service Providers
Organization subpart: No
Authorized official: Justo Gonzalez, Urologist(321) 268-4693
License: ME67177 (FL)

Specialties & taxonomies

SpecialistPrimary174400000XLicense ME67177 (FL)
Other Service Providers

Practice location

2203 Garden St

Titusville, FL 32796-2577

Phone: (321) 268-4693

Fax: (321) 268-4696

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

2203 Garden St

Titusville, FL 32796-2577

Other names (DBA / former)

Doing business as: Justo Gonzalez, M.D.

Registry dates

Enumerated: 2007-10-11
Last updated: 2009-03-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Space Coast Urology, LLC — NPI 1336337690, Titusville, FL | NPI Central