Active NPI
Legacy V Medical
- Customized Equipment (DME)
- Orlando, FL
National Provider Identifier
1043514458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Legacy Home Health Agency LLC
- Legacy Non-Emergency Medi Transport
- Legacy Park Discount Pharmacy (Legacy Pharmacy)
- Legacy Park Discount Pharmacy (Legacy Pharmacy)
- Legacy Smiles of Orlando
- Debbie Legall
- Adelisa Belle Legaspi, DMD
- Judith Faith Legault, PH.D., ED.D.
- Legavie Health LLC
- Legend Medical & Rehabilitation Center Inc
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.