Individual provider Active NPI

Derek Glenn Eiflander, FNP-C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1881581510
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11040429 Issued in FL
Practice address
1724 33Rd St Ste 100
Orlando, FL 32839-8858
Phone
(407) 553-6336
NPI assigned
Jun 24, 2025
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 11040429 FL Primary

Addresses

Primary practice location

1724 33Rd St Ste 100
Orlando, FL 32839-8858

Mailing address

1724 33Rd St Ste 100
Orlando, FL 32839-8858
Phone (407) 553-6336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11040429FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pineapple Healthcare Inc. CurrentSince Jun 29, 2025 Accepting new patients

Locations

1724 33rd St
Ste 100
Orlando, FL 32839
Phone (407) 553-6336

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1881581510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 33RD ST STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328398858",
            "telephone_number": "407-553-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 33RD ST STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328398858",
            "telephone_number": "407-553-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIFLANDER",
        "first_name": "DEREK",
        "middle_name": "GLENN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040429",
            "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 Jun 24, 2025; 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.