Organization Active NPI

Legend Health, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lakeland, FL
National Provider Identifier
1366606600
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LEGEND HEALTH, INC.
Practice address
3131 Flightline Dr Ste 101
Lakeland, FL 33811-2801
Phone
(863) 644-4747
Fax
(863) 644-9898
NPI assigned
Jul 16, 2008
Last updated
Nov 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
John T Putnam
Title
President/Ceo
Phone
(863) 644-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3131 Flightline Dr Ste 101
Lakeland, FL 33811-2801

Mailing address

3131 Flightline Dr Ste 101
Lakeland, FL 33811-2801
Phone (863) 644-4747

National Provider Directory

National Provider Directory

Locations

3131 Flightline Dr
Ste 101
Lakeland, FL 33811
Phone (863) 644-4747

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1366606600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 FLIGHTLINE DR STE 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338112801",
            "telephone_number": "863-644-4747",
            "fax_number": "863-644-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 FLIGHTLINE DR STE 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338112801",
            "telephone_number": "863-644-4747",
            "fax_number": "863-644-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "863-644-4747"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.