Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ertha Healthcare LLC

Organization Nurse Practitioner · NPI 1790552875

Ertha Healthcare LLC is a Nurse Practitioner in Palm Bay, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

674 Cecelia Ave SE
Palm Bay, FL 32909-4401
Phone: (321) 261-1058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1790552875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marie Petiote — Ceo · (321) 261-1058
NPI enumeratedDecember 7, 2023
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 18, 2024
Mailing address674 Cecelia Ave Se, Palm Bay, FL 32909-4401

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