Space Coast Endocrinology LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

SPACE COAST ENDOCRINOLOGY LLC

Practice address

835 Executive LN
Suite 110
Rockledge, FL 32955-8068

Phone

(321) 638-2075

Fax

(321) 638-2234

NPI assigned

Feb 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandi Laroche

Title

Mso Credentialing Coordinator

Phone

(321) 449-4168

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Marie Glatter, ARNP-BC

  • Family Nurse Practitioner
  • Clearwater, FL
  • NPI 1841213105
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1376682559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SYKES CREEK PKWY",
            "address_2": "SUITE 300",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533488",
            "telephone_number": "321-449-4168",
            "fax_number": "321-449-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 EXECUTIVE LN",
            "address_2": "SUITE 110",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558068",
            "telephone_number": "321-638-2075",
            "fax_number": "321-638-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE COAST ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "LAROCHE",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "MSO CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "321-449-4168"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soriano Physician Services PLLC
• Victor Soriano, M.D.
• Space Coast Anesthesiology and Pain Medicine PLLC
• Space Coast Center for Independent Living
• Space Coast Counseling, LLC
• Space Coast Health Foundation, Inc.
• Space Coast HVSC, LLC
• Space Coast Neurosurgery PA
• Space Coast Prosthetics and Orthotics, Inc.
• Stephanie Spahr

• Endocrinology, Diabetes & Metabolism Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.