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ERTHA HEALTHCARE LLC
NPI 1790552875
Nurse Practitioner - Family in Palm Bay, FL

Active since December 07, 2023
674 CECELIA AVE SE, PALM BAY, FL 32909(321) 261-1058 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ertha Healthcare Llc NPPES

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

ERTHA HEALTHCARE LLC (NPI 1790552875) is a healthcare organization registered as a family in Palm Bay, Florida and active in the NPI registry since December 2023. The organization lists Marie Petiote, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790552875
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameERTHA HEALTHCARE LLC
Location Address674 CECELIA AVE SEPalm Bay, FL 32909-4401
Mailing Address674 Cecelia Ave SePalm Bay, FL 32909-4401 · (321) 261-1058
Phone(321) 261-1058
Organization SubpartNo
Authorized OfficialMarie PetioteCeo · (321) 261-1058
Enumeration DateDecember 7, 2023
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1790552875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
674 CECELIA AVE SE, Palm Bay, FL 32909
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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.

MARIE PETIOTE APRN
Nurse Practitioner (Family)
674 CECELIA AVE SE
PALM BAY, FL 32909
Brevard County (321) 261-1058

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 Ertha Healthcare LLC's NPI number?

The NPI number for Ertha Healthcare LLC is 1790552875. It was assigned to this organization in the NPPES registry on December 7, 2023.

Where is Ertha Healthcare LLC located?

Ertha Healthcare LLC is located at 674 Cecelia Ave SE, Palm Bay, FL 32909. The listed phone number is (321) 261-1058.

What is Ertha Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ertha Healthcare LLC was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.