Organization Active NPI

Eri Healthcare, LLC

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1235710278
Registry record updated Apr 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ERI HEALTHCARE, LLC
Practice address
3505 Lake Lynda Dr Ste 200
Orlando, FL 32817-8333
Phone
(407) 567-1907
Fax
(407) 550-7469
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2024

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

Authorized official

Name
Ajoke S Bamisile, MD
Title
Authorized Member
Phone
(407) 567-1907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3505 Lake Lynda Dr Ste 200
Orlando, FL 32817-8333

Mailing address

3505 Lake Lynda Dr Ste 200
Orlando, FL 32817-8333
Phone (407) 567-1907

National Provider Directory

National Provider Directory

Locations

1701 W Wetherbee Rd
Unit 772409
Orlando, FL 32877

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712448000000",
    "number": "1235710278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 LAKE LYNDA DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178333",
            "telephone_number": "407-567-1907",
            "fax_number": "407-550-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 LAKE LYNDA DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178333",
            "telephone_number": "407-567-1907",
            "fax_number": "407-550-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERI HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "BAMISILE",
        "authorized_official_first_name": "AJOKE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "407-567-1907",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; 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.