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Sanda St Fort, LPN
NPI 1164017984 · Licensed Practical Nurse · Palm Bay, FL
Sanda St Fort, LPN is a Licensed Practical Nurse provider in Palm Bay, FL (NPI 1164017984).
Provider details
- NPI number
- 1164017984
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- PN5234997 (FL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
351 Breakwater St Se
Palm Bay, FL 32909-4729
Phone: (561) 577-8181
Street-level locationGet directions
Mailing address
351 Breakwater St Se
Palm Bay, FL 32909-4729
Registry dates
- Enumerated
- 2021-03-03
- Last updated
- 2021-03-03
- Certified
- 2021-03-03
Frequently asked questions
- What is Sanda St Fort's NPI number?
- Sanda St Fort's National Provider Identifier (NPI) is 1164017984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanda St Fort's specialty?
- Sanda St Fort is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Sanda St Fort located?
- Sanda St Fort's practice location on file with NPPES is 351 Breakwater St Se, Palm Bay, FL 32909-4729.
- What is Sanda St Fort's phone number?
- The practice phone number listed in the NPPES registry for Sanda St Fort is (561) 577-8181.
- Is Sanda St Fort's NPI active?
- Yes — Sanda St Fort's NPI (1164017984) is active in the NPPES registry as of the last update on 2021-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.