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

Spacecoast Wound Specialist LLC

Organization Gerontology Nurse Practitioner · NPI 1417787490

Spacecoast Wound Specialist LLC is a Gerontology Nurse Practitioner in Palm Bay, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

770 Schuster Rd SW
Palm Bay, FL 32908-1711
Phone: (321) 720-3014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X

Record details

NPI number1417787490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marianne Arruda-Wennberg — Owner · (321) 720-3014
NPI enumeratedAugust 5, 2024
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address770 Schuster Rd Sw, Palm Bay, FL 32908-1711

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