Space Coast Anesthesia Services LLC
NPI 1942441753ActiveOrganization· Anesthesiology· Merritt Island, FL
Anesthesiology in Merritt Island, Florida, registered in NPPES in March 2009. The authorized official on file is Jeff Parks, Senior Vice President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1942441753 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2009 |
| Last updated in NPPES | May 25, 2021 |
| Certified by provider | May 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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