Enterprise Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 66305 Issued in FL

Legal business name

ENTERPRISE INTERNAL MEDICINE LLC

Practice address

1507 Park Center Dr
Suite 1a
Orlando, FL 32835-5795

Phone

(407) 808-8763

Fax

(407) 286-4167

NPI assigned

Mar 23, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phyllis A Gerber, MD

Title

Owner

Phone

(407) 808-8763

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1124412671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 PARK CENTER DR",
            "address_2": "SUITE 1A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355795",
            "fax_number": "407-286-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 PARK CENTER DR",
            "address_2": "SUITE 1A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355795",
            "telephone_number": "407-808-8763",
            "fax_number": "407-286-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-808-8763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 66305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yunisel Enriquez Tamayo, C-SA
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• Samantha Enstad
• Jacqueline Lee Enterkin, RN
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• Madison Anne Eouse, OTR/L
• Epic Orthotics LLC
• Epilepsy Association of Central Florida, Inc.

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.