Organization Active NPI

Legacy V Medical

  • Customized Equipment (DME)
  • Orlando, FL
National Provider Identifier
1043514458
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
LEGACY V MEDICAL
Practice address
3113 Willie Mays Pkwy
Ste.1100-B
Orlando, FL 32811
Phone
(407) 947-4946
NPI assigned
Dec 28, 2010
Last updated
May 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marie L Marcovitch
Title
MGR. Member
Phone
(407) 674-8988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3113 Willie Mays Pkwy
Ste.1100-B
Orlando, FL 32811

Mailing address

3113 Willie Mays Pkwy
Ste.1100-B
Orlando, FL 32811
Phone (407) 674-8988

National Provider Directory

National Provider Directory

Locations

3113 Willie Mays Pkwy
Ste 1100B
Orlando, FL 32811
Phone (407) 674-8988

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1043514458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 WILLIE MAYS PKWY",
            "address_2": "STE.1100-B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32811",
            "telephone_number": "407-674-8988",
            "fax_number": "407-674-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 WILLIE MAYS PKWY",
            "address_2": "STE.1100-B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32811",
            "telephone_number": "407-947-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY V MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "MARCOVITCH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MGR. MEMBER",
        "authorized_official_telephone_number": "407-674-8988"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.