Teak Haven Company, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

TEAK HAVEN COMPANY, LLC

Practice address

1150 Malabar Rd SE # 208
Palm Bay, FL 32907-3239

Phone

(321) 292-9063

NPI assigned

Jun 22, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alyssa M Pamenter, APRN

Title

Owner

Phone

(321) 292-9063

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1700712445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MALABAR RD SE # 208",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073239",
            "telephone_number": "321-292-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MALABAR RD SE # 208",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073239",
            "telephone_number": "321-292-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAK HAVEN COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-21",
        "status": "A",
        "authorized_official_last_name": "PAMENTER",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-292-9063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Palm Bay, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.