Living Florida Healthcare LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LIVING FLORIDA HEALTHCARE LLC

Practice address

4804 Edgewater Dr
Orlando, FL 32804-1126

Phone

(321) 330-9330

Fax

(321) 697-7000

NPI assigned

Jun 8, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Tom Anthony Harris

Title

Administrator

Phone

(407) 574-2121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marlene Veronica Lindsay, ARNP

  • Adult Health Nurse Practitioner
  • Orlando, FL
  • NPI 1336163823
  Medicare reassignment Care Compare group NPD
• Richard B. Powell, MD

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1023103702
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1073006631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 EDGEWATER DR STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041126",
            "telephone_number": "407-574-2121",
            "fax_number": "866-682-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041126",
            "telephone_number": "321-330-9330",
            "fax_number": "321-697-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING FLORIDA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2022-10-19",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-574-2121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live Well Medical Centers LLC
• Dino Liverano, LMHC
• Doreen Livers
• Livewell Counseling Group
• Liveyond Inc.
• Living Healthy Nutrition Consultants, LLC
• Living Waters Wellness Center Inc
• Living Well
• Living Well
• Living Well Acupuncture

• Primary Care Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.