NPI
1977 Enterprise Llc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2023-02-20
- Last updated
- 2024-03-08
Specialties
- 207QS0010XFamily Medicine, Sports Medicine
- 2084A0401XPsychiatry & Neurology, Addiction Medicine
- 2084P0800XPsychiatry & Neurology, Psychiatry
- 208M00000XHospitalist
- 363A00000XPhysician Assistant
- 363L00000XNurse Practitioner
- 363LA2200XNurse Practitioner, Adult Health
- 363LF0000XNurse Practitioner, Family
- 363LP0808XNurse Practitioner, Psych/Mental Health
- 363LP2300XNurse Practitioner, Primary Care
Licenses
The registry row did not include a license.
Location
- Practice location
- 450 S Orange Ave Fl 3
- City
- Orlando FL
- Postal code
- 32801-3394
- Phone
- (407) 212-7113
Organization contact
- Name
- MARISSA EARLY
- Title
- CEO
- Phone
- 4072127113
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Orlando, FL. 32,964 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.