1977 Enterprise LLC
1977 Enterprise LLC is a healthcare organization registered as Nurse Practitioner in Orlando, FL, holding Type 2 (organization) NPI 1952009995 since 2023. The authorized official on file is Marissa Early, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1952009995 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 1977 Enterprise LLC |
| Other name | <Unavail> |
| Practice address | 450 S ORANGE AVE FL 3, Orlando, FL, 32801 |
| Phone | 4072127113 |
| Fax | 4072648686 |
| Enumeration date | 2023-02-20 |
| Last updated in NPPES | 2024-03-08 |
Authorized official
| Name | Marissa Early |
|---|---|
| Title | Ceo |
| Phone | 4072127113 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207QS0010X | Sports Medicine (Family Medicine) Physician | Secondary | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | Secondary | — | — |
| 2084P0800X | Psychiatry Physician | Secondary | — | — |
| 208M00000X | Hospitalist Physician | Secondary | — | — |
| 363A00000X | Physician Assistant | Secondary | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | Secondary | — | — |
| 363LF0000X | Family Nurse Practitioner | Secondary | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Secondary | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Primary | — | — |
Copy-ready billing details
Provider: 1977 Enterprise LLC NPI: 1952009995 Taxonomy: 363L00000X (Nurse Practitioner) Address: 450 S ORANGE AVE FL 3, Orlando, FL, 32801
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396148417 | Francisco Davila | Individual | Clinical Social Worker | Orlando, FL |
| 1285208454 | Samantha Perrin | Individual | Licensed Practical Nurse | Orlando, FL |
| 1124751821 | Aderis Health Technologies | Organization | Psychiatric/Mental Health Nurse Practitioner | Orlando, FL |
| 1518740109 | Mesk Medical Group | Organization | Psychiatry Physician | Orlando, FL |
Verify this record
Cross-check NPI 1952009995 against the authoritative CMS record: view 1977 Enterprise LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is 1977 Enterprise LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-03-08.