Active NPI
Space Coast Lung & Sleep Center
- Specialist
- Merritt Island, FL
National Provider Identifier
1629438635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SPACE COAST LUNG & SLEEP CENTER
- Practice address
- 205 N Banana River Dr
Suite 105
Merritt Island, FL 32952-2596 - Phone
- (931) 212-8192
- NPI assigned
- Mar 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed Moataz Toban, M.D.
- Title
- Owner/Physician
- Phone
- (931) 212-8192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | FL | Primary |
Addresses
Primary practice location
205 N Banana River Dr
Suite 105
Merritt Island, FL 32952-2596
Mailing address
205 N Banana River Dr
Suite 105
Merritt Island, FL 32952-2596
Phone (931) 212-8192
National Provider Directory
National Provider DirectoryLocations
205 N Banana River Dr
Ste 105
Merritt Island, FL 32952
Phone (321) 208-8361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456963200000",
"number": "1629438635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N BANANA RIVER DR",
"address_2": "SUITE 105",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329522596",
"telephone_number": "931-212-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N BANANA RIVER DR",
"address_2": "SUITE 105",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329522596",
"telephone_number": "931-212-8192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPACE COAST LUNG & SLEEP CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-03",
"last_updated": "2016-03-03",
"status": "A",
"authorized_official_last_name": "TOBAN",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "MOATAZ",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "931-212-8192",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
- Felix Anthony Sosa, MD
- Javier J Soto, M.D.
- Sound Hearing Centers, LLC
- Space Coast Anesthesia Services LLC
- Space Coast Dermatology Clinic, PLLC
- Space Coast Orthopaedic Center PL
- Space Coast Rheumatology & Arthritis Center PA
- Space Coast Surgery Center LLC
- Space Coast Surgical Center LTD
- Alan Gerard Spears
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.