Organization · Type 2 NPI

1977 Enterprise LLC

Nurse Practitioner · Orlando, FL

NPI number 1952009995 Active

Practice location

450 S Orange Ave Fl 3
Orlando, FL 32801-3394

Fax (407) 264-8686

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician 207QS0010XNone listed
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401XNone listed
Psychiatry Physician 2084P0800XNone listed
Hospitalist Physician 208M00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed
Primary Care Nurse Practitioner 363LP2300XNone 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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About NPI 1952009995

1977 Enterprise LLC's National Provider Identifier is 1952009995, issued on Feb 20, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orlando, FL. The record was last updated on Mar 8, 2024.