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

Elyse Octave

Individual provider Family Medicine Physician · NPI 1912653361

Elyse Octave is a Family Practice in Orlando, Florida. Qualified in 2010, 16 years ago. Practices with Dedicated Senior Medical Center of Florida, LLC, a 56-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

2724 N Hiawassee Rd Ste 100
Orlando, FL 32818-3008
Phone: (407) 906-0082
Fax: (407) 604-2606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME152754 (FL)

Record details

NPI number1912653361
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2022
Last updated in NPPESApril 8, 2022
Certification dateApril 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Dedicated Senior Medical Center Of Florida, Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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