Organization Active NPI

Legend Medical & Rehabilitation Center Inc

  • Health Service Clinic/Center
  • Orlando, FL
National Provider Identifier
1497930713
Registry record updated Jan 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC6368 Issued in FL
Legal business name
LEGEND MEDICAL & REHABILITATION CENTER INC
Practice address
1400 N Semoran Blvd Ste a
Suite a
Orlando, FL 32807-3562
Phone
(407) 692-8859
NPI assigned
Jan 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2008

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

Authorized official

Name
Serafin Manuel Menecia, MA
Title
President
Phone
(407) 692-8859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC6368 FL Primary

Addresses

Primary practice location

1400 N Semoran Blvd Ste a
Suite a
Orlando, FL 32807-3562

Mailing address

1400 N Semoran Blvd Ste a
Suite a
Orlando, FL 32807-3562
Phone (407) 692-8859

National Provider Directory

National Provider Directory

Locations

1400 N Semoran Blvd
Ste A
Orlando, FL 32807
Phone (407) 692-8859

NPI Registry JSON

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199491200000",
    "number": "1497930713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N SEMORAN BLVD STE A",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073562",
            "telephone_number": "407-692-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N SEMORAN BLVD STE A",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073562",
            "telephone_number": "407-692-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND MEDICAL & REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-05",
        "last_updated": "2008-01-05",
        "status": "A",
        "authorized_official_last_name": "MENECIA",
        "authorized_official_first_name": "SERAFIN",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-692-8859",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC6368",
            "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 Jan 5, 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.