Legacy Med Pro

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LEGACY MED PRO

Practice address

407 Lake Howell Rd Ste 1011
Maitland, FL 32751-5914

Phone

(224) 247-9084

NPI assigned

Nov 19, 2025

Last updated

Nov 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latrice TaylorNPI 1063373231

Title

Coo

Phone

(224) 247-9084

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latrice Taylor

  • Durable Medical Equipment & Medical Supplies
  • Maitland, FL
  • NPI 1063373231
  NPD Authorized official

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1669333696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LAKE HOWELL RD STE 1011",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515914",
            "telephone_number": "224-247-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LAKE HOWELL RD STE 1011",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515914",
            "telephone_number": "224-247-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MED PRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "224-247-9084"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecile Carmina Lebron Aponte, MD
• Raymond Lebron, CBHCM
• Kimberly Lee
• Laura Lee, MS
• Yun-Chiao Lee, DOM, AP
• Legacy Medix Group
• Mackenzie R Leischner
• Dano Anthony Leli, PHD
• Brandon Lenox, D.O.
• Jenny Esther Leon, MPS

• Durable Medical Equipment & Medical Supplies in Maitland, FL
• Providers in Maitland, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.