Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TEAK HAVEN COMPANY, LLC
NPI 1700712445
Nurse Practitioner in Palm Bay, FL

Q: What is Teak Haven Company, LLC's NPI number?

The NPI number for Teak Haven Company, LLC is 1700712445. It was assigned to this organization in the NPPES registry on June 22, 2026.

Q: What is Teak Haven Company, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 22, 2026

1150 MALABAR RD SE # 208, PALM BAY, FL 32907(321) 292-9063 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Teak Haven Company, Llc NPPES

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

TEAK HAVEN COMPANY, LLC (NPI 1700712445) is a healthcare organization registered as a nurse practitioner in Palm Bay, Florida and active in the NPI registry since June 2026. The organization lists Alyssa M Pamenter, Owner, as its authorized official.

NPPES Registry Identity

NPI1700712445

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameTEAK HAVEN COMPANY, LLC

Location Address1150 MALABAR RD SE # 208Palm Bay, FL 32907-3239

Mailing Address1150 Malabar Rd Se # 208Palm Bay, FL 32907-3239 · (321) 292-9063

Phone(321) 292-9063

Organization SubpartNo

Authorized OfficialAlyssa M PamenterOwner · (321) 292-9063

Enumeration DateJune 22, 2026

NPPES CertifiedJune 21, 2026

✔ NPI 1700712445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1150 MALABAR RD SE # 208, Palm Bay, FL 32907

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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

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 Teak Haven Company, LLC's NPI number?

The NPI number for Teak Haven Company, LLC is 1700712445. It was assigned to this organization in the NPPES registry on June 22, 2026.

Where is Teak Haven Company, LLC located?

Teak Haven Company, LLC is located at 1150 Malabar Rd SE # 208, Palm Bay, FL 32907. The listed phone number is (321) 292-9063.

What is Teak Haven Company, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Teak Haven Company, LLC was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.