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SPACECOAST WOUND SPECIALIST LLC
NPI 1417787490
Nurse Practitioner - Gerontology in Palm Bay, FL

Active since August 05, 2024
770 SCHUSTER RD SW, PALM BAY, FL 32908(321) 720-3014 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Aug 5, 2024 (2 updates tracked since 2024).

About Spacecoast Wound Specialist Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPACECOAST WOUND SPECIALIST LLC (NPI 1417787490) is a healthcare organization registered as a gerontology in Palm Bay, Florida and active in the NPI registry since August 2024. The organization lists Marianne Arruda-wennberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1417787490
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameSPACECOAST WOUND SPECIALIST LLC
Location Address770 SCHUSTER RD SWPalm Bay, FL 32908-1711
Mailing Address770 Schuster Rd SwPalm Bay, FL 32908-1711
Phone(321) 720-3014
Organization SubpartNo
Authorized OfficialMarianne Arruda-wennbergOwner · (321) 720-3014
Enumeration DateAugust 5, 2024
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1417787490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
770 SCHUSTER RD SW, Palm Bay, FL 32908
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIANNE ARRUDA-WENNBERG APRN
Nurse Practitioner (Gerontology)
770 SCHUSTER RD SW
PALM BAY, FL 32908
Brevard County (321) 720-3014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spacecoast Wound Specialist LLC's NPI number?

The NPI number for Spacecoast Wound Specialist LLC is 1417787490. It was assigned to this organization in the NPPES registry on August 5, 2024.

Where is Spacecoast Wound Specialist LLC located?

Spacecoast Wound Specialist LLC is located at 770 Schuster Rd SW, Palm Bay, FL 32908. The listed phone number is (321) 720-3014.

What is Spacecoast Wound Specialist LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Spacecoast Wound Specialist LLC was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.