Atlantic Space Coast Gi PA
Organization Active NPI Gastroenterology Physician · Rockledge, FL
NPI 1730103086 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1730103086
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- ME0060192 (FL)
- Legal business name
- ATLANTIC SPACE COAST GI PA
- Practice address
- 1009 Harvin Way
Suite 100
Rockledge, FL 32955 - Phone
- (321) 632-0497
- Fax
- (321) 631-7746
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Andrew Tobkes, MD
- Title
- Owner
- Phone
- (321) 632-0497
Practitioners 1
-
Andrew I Tobkes, MD
National Provider Directory
Locations
1009 Harvin Way
Ste 100
Rockledge, FL 32955
Phone (321) 632-0497
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | ME0060192 | FL | Yes |
Addresses
Primary practice location
1009 Harvin Way
Suite 100
Rockledge, FL 32955
Mailing address
1009 Harvin Way
Suite 100
Rockledge, FL 32955
Phone (321) 632-0497
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- Meagan Kathleen Austin
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- Margeths Ayala-Cruz
All providers in Rockledge, FL · Gastroenterology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.