Managed Healthy Living Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MANAGED HEALTHY LIVING INC

Practice address

4804 Edgewater Dr Ste a
Orlando, FL 32804-1126

Phone

(407) 574-3030

Fax

(321) 697-7000

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Marlene Vernonia Lindsay, DNPNPI 1336163823

Title

Administrator

Phone

(407) 574-3030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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 NPD Authorized official

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1104595735",
    "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": "407-574-3030",
            "fax_number": "321-697-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 EDGEWATER DR STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041126",
            "telephone_number": "407-574-3030",
            "fax_number": "321-697-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED HEALTHY LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "VERNONIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-574-3030",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Mamott, PHARMD
• Eleftherios P Mamounas, MD
• Ebrahim Mamsa, DDS
• Noushad Mamun, DO
• Managed Healthcare Experts
• Managed Medical Equipment
• Isabelita Anne Manalastas, PHARMD
• Manara Counseling, LLC
• Manara Wellness, LLC
• Francesca Manassero

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.