Healthcare Provider Details

I. General information

NPI: 1295470060
Provider Name (Legal Business Name): ER CARE OF CFL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7780 LAKE UNDERHILL RD SUITE 111
ORLANDO FL
32822
US

IV. Provider business mailing address

7780 LAKE UNDERHILL RD SUITE 111
ORLANDO FL
32822
US

V. Phone/Fax

Practice location:
  • Phone: 407-704-8005
  • Fax: 407-704-2888
Mailing address:
  • Phone: 407-704-8005
  • Fax: 407-704-2888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. AJAY PATEL
Title or Position: PA-C
Credential: PA-C
Phone: 407-488-2139