Organization · Type 2 NPI

Ourhealth Professional Physician Group, LLC

Nurse Practitioner · Orlando, FL

NPI number 1740804566 Active

Practice location

501 W Church St
Orlando, FL 32805-2247

Call (689) 210-0525 Map

Mailing address

PO Box 1433
Portsmouth, NH 03802-1433

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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NPI record

NPI: 1740804566
Entity type: Organization (Type 2)
Issued: Jun 8, 2020
Last updated: Dec 4, 2025
Status: Active
Subpart: Yes of Ourhealth Professional Physician Group, LLC

Other names

Travel Leisure @ 501 W. Church · other name

Authorized official

Terry Layman, MD
President
(317) 522-0844

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740804566

Ourhealth Professional Physician Group, LLC's National Provider Identifier is 1740804566, issued on Jun 8, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orlando, FL. The record was last updated on Dec 4, 2025.