Space Coast Medical Management LLC
NPI 1881298768 · Primary Care Clinic/Center · Palm Bay, FL
Space Coast Medical Management LLC is a Primary Care Clinic/Center organization in Palm Bay, FL (NPI 1881298768).
Provider details
- NPI number
- 1881298768
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Husted, Cfo(561) 523-3973
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
5 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
- 2020-11-23
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Frequently asked questions
- What is Space Coast Medical Management LLC's NPI number?
- Space Coast Medical Management LLC's National Provider Identifier (NPI) is 1881298768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Space Coast Medical Management LLC?
- Space Coast Medical Management LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Space Coast Medical Management LLC located?
- Space Coast Medical Management LLC's practice location on file with NPPES is 1840 Eldron Blvd Se Ste 2, Palm Bay, FL 32909-6871.
- What is Space Coast Medical Management LLC's phone number?
- The practice phone number listed in the NPPES registry for Space Coast Medical Management LLC is (561) 523-3973.
- Who is the authorized official for Space Coast Medical Management LLC?
- The authorized official listed on Space Coast Medical Management LLC's NPPES record is Michael Husted, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Space Coast Medical Management LLC's NPI active?
- Yes — Space Coast Medical Management LLC's NPI (1881298768) is active in the NPPES registry as of the last update on 2020-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.