Organization · Type 2 NPI
Spacecoast Wound Specialist LLC
Gerontology Nurse Practitioner · Palm Bay, FL
NPI number
1417787490
Active
Practice location
770 Schuster Rd SW
Palm Bay, FL 32908-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
Other gerontology nurse practitioner providers in Palm Bay
About NPI 1417787490
Spacecoast Wound Specialist LLC's National Provider Identifier is 1417787490, issued on Aug 5, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Palm Bay, FL. The record was last updated on Sep 5, 2024.