Wisteria Elderly Care, Llc

Specialty details in registry · Palm Bay, FL

Call (321) 345-4177 Directions

At a glance

189 Donald Ave Ne, Palm Bay, FL 32907-3158

NPPES record updated Mar 29, 2013. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

189 Donald Ave Ne
Palm Bay, FL 32907-3158
Professional details: NPI, taxonomy & registry record
NPI1154664043
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
385H00000X
Enumeration date
Mar 29, 2013
Record updated
Mar 29, 2013
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

347C00000X

License reported: 232475 FL

Specialty details in registry

385H00000X · Primary

License reported: 6906533 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

189 Donald Ave Ne
Palm Bay, FL 32907-3158
Phone
(321) 345-4177
Fax
(321) 345-4177
Mailing address
189 DONALD AVE NE

PALM BAY, FL 329073158
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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