Provider

1977 ENTERPRISE LLC

Public NPPES listing with taxonomy: Nurse Practitioner.

1977 ENTERPRISE LLC is a provider in Orlando, Florida. Check Medicare & GLP-1 coverage status, address, phone, NPI, and source details below, then call or visit the website to confirm current participation and benefits.

Resource details

Medicare status: Confirm directly

Unknown from NPPES

Source: NPPES NPI Registry

NPI: 1952009995

Taxonomy: Nurse Practitioner (363L00000X)

Source confidence: 58%

Medicare assignment: Unknown from NPPES

Address: 450 S ORANGE AVE FL 3, ORLANDO, FL, 328013394

Phone: 407-212-7113

Last verified: July 27, 2026