LEGACY V MEDICAL


Address: 3113 Willie Mays Pkwy, Ste.1100-b, Orlando, FL 32811
Phone: 4079474946

LEGACY V MEDICAL (NPI# 1043514458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043514458
Entity Type Organization
Organization Name LEGACY V MEDICAL
Practice Address 3113 Willie Mays Pkwy
Ste.1100-b
Orlando
FL 32811
Practice Telephone 4079474946
Mailing Telephone 4076748988
Mailing Fax Number 4076748993
Enumeration Date 2010-12-28
Last Update Date 2011-05-05
Authorized Official Name MARIE L MARCOVITCH (MGR. MEMBER)
Authorized Official Telephone 4076748988
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Office Location

Street Address 3113 WILLIE MAYS PKWY
STE.1100-B
City ORLANDO
State FL
Zip Code 32811

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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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Competitor

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City ORLANDO
Zip Code 32811

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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