Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

1977 Enterprise LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1952009995

1977 Enterprise LLC is a Sports Medicine (Family Medicine) Physician in Orlando, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
10
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

450 S Orange Ave Fl 3
Orlando, FL 32801-3394
Phone: (407) 212-7113
Fax: (407) 264-8686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Psychiatry Physician Taxonomy 2084P0800X
Hospitalist Physician Taxonomy 208M00000X
Physician Assistant Taxonomy 363A00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1952009995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marissa Early — Ceo · (407) 212-7113
Other names Take 2 Medical; Take 2 Medical
NPI enumeratedFebruary 20, 2023
Last updated in NPPESMarch 8, 2024
Certification dateMarch 1, 2024
Mailing address450 S Orange Ave Fl 3, Orlando, FL 32801-3394

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