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

Ethan Dillingham

Individual provider Nurse Practitioner · NPI 1134840176

Ethan Dillingham is a Nurse Practitioner in Orlando, Florida. Qualified in 2022, 4 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1222 S Orange Ave Fl 4
Orlando, FL 32806-1215
Phone: (321) 841-6444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN11021751 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 11021751 (FL)

Record details

NPI number1134840176
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2022
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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