Organization · Type 2 NPI
Teak Haven Company, LLC
Nurse Practitioner · Palm Bay, FL
Practice location
1150 Malabar Rd SE # 208
Palm Bay, FL 32907-3239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (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 wit…
About NPI 1700712445
Teak Haven Company, LLC's National Provider Identifier is 1700712445, issued on Jun 22, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Palm Bay, FL. The record was last updated on Jun 22, 2026.