Organization Active NPI

Magic IV Therapy

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1699637843
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MAGIC IV THERAPY
Practice address
830 E Vine St
Kissimmee, FL 34744-4218
Phone
(407) 449-5151
NPI assigned
Nov 25, 2025
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Carmen M Lugo
Title
Owner
Phone
(407) 449-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

830 E Vine St
Kissimmee, FL 34744-4218

Mailing address

1580 Neo Landings Loop Apt 113
Kissimmee, FL 34744-3222
Phone (407) 449-5151

National Provider Directory

National Provider Directory

Locations

830 E Vine St
Kissimmee, FL 34744
Phone (407) 449-5151

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1699637843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 NEO LANDINGS LOOP APT 113",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443222",
            "telephone_number": "407-449-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444218",
            "telephone_number": "407-449-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC IV THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-449-5151"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.