OrganizationActive
Space Coast Skin Solutions LLC
NPI 1891688685 · Nurse Practitioner · Grant, FL
Provider details
- NPI number
- 1891688685
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Elyse Huff, Owner(321) 720-2101
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5839 Snook Ln
Grant, FL 32949-2253
Phone: (321) 720-2101
Approximate (ZIP-level) locationGet directions
Mailing address
5839 Snook Ln
Grant, FL 32949-2253
Registry dates
- Enumerated
- 2025-05-30
- Last updated
- 2025-05-30
- Certified
- 2025-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.