OrganizationActive
Space Coast Nephrology Associates, PLLC
NPI 1821552696 · Nephrology Physician · Melbourne, FL
Provider details
- NPI number
- 1821552696
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tabitha Abraham, Practice Administrator(321) 768-3655
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
111 E Hibiscus Blvd
Melbourne, FL 32901-3102
Phone: (321) 768-3655
Fax: (321) 831-3024
Street-level locationGet directions
Mailing address
111 E Hibiscus Blvd
Melbourne, FL 32901-3102
Registry dates
- Enumerated
- 2019-01-25
- Last updated
- 2021-08-02
- Certified
- 2021-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.