MEDICARE: ERIN LEIGH GARAY FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	AP139638	TX
2	363L00000X	Nurse Practitioner	APRN11009315	FL
3	363LF0000X	Family Nurse Practitioner	APRN11009315	FL

General Provider Information

NPI Number	:	1023574993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN LEIGH GARAY FNP-C

Provider Business Mailing Address
First Line	:	2145 METROCENTER BLVD STE 120
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-7642
Country	:	US
Telephone Number	:	703-899-7184
Fax Number	:

Provider Business Practice Location Address
First Line	:	2145 METROCENTER BLVD STE 120
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-7642
Country	:	US
Telephone Number	:	703-899-7184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2019
Last Update Date	:	07/28/2025

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