Active NPI
Eri Healthcare, LLC
- Internal Medicine Physician
- Orlando, FL
National Provider Identifier
1235710278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.