TAKE 2 MEDICAL - NPI 1952009995 - Nurse Practitioner in Orlando, FL

Q: What is 1977 Enterprise LLC's NPI number?

The NPI number for 1977 Enterprise LLC is 1952009995. It was assigned to this organization in the NPPES registry on February 20, 2023. The provider is doing business as Take 2 Medical.

Q: What is 1977 Enterprise LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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About Take 2 Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAKE 2 MEDICAL (NPI 1952009995) is a healthcare organization registered as a nurse practitioner in Orlando, Florida and active in the NPI registry since February 2023. The organization lists Marissa Early, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952009995

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business Name1977 ENTERPRISE LLC

Location Address450 S ORANGE AVE FL 3Orlando, FL 32801-3394

Mailing Address450 S Orange Ave Fl 3Orlando, FL 32801-3394 · (407) 212-7113 · Fax (407) 264-8686

Phone(407) 212-7113

Fax(407) 264-8686

Organization SubpartNo

Authorized OfficialMarissa EarlyCeo · (407) 212-7113

Enumeration DateFebruary 20, 2023

Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration

NPPES CertifiedMarch 1, 2024

✔ NPI 1952009995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

450 S ORANGE AVE FL 3, Orlando, FL 32801

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Other Names 1

Doing Business AsTake 2 Medical

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE DUANE GUY MSN, APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)