ATLANTIC SPACE COAST GI PA – NPI #1730103086
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

ATLANTIC SPACE COAST GI PA is a provider located in ROCKLEDGE, FL. NPPES has assigned the NPI number 1730103086 to ATLANTIC SPACE COAST GI PA on July 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATLANTIC SPACE COAST GI PA below.

NPI Profile for
ATLANTIC SPACE COAST GI PA

NPI Number
1730103086
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATLANTIC SPACE COAST GI PA
Primary location
1009 HARVIN WAY
SUITE 100
ROCKLEDGE, FL 32955
Phone: (321) 632-0497 Fax: (321) 631-7746
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANDREW TOBKES
OWNER
Phone: (321) 632-0497
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
FL ME0060192

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.