Organization Active NPI

Medly LLC

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
National Provider Identifier
1841806684
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDLY LLC
Practice address
1305 Morgan Stanley Ave Unit 335
Winter Park, FL 32789-1961
Phone
(407) 476-4260
Fax
(855) 746-1576
NPI assigned
Sep 17, 2020
Last updated
Sep 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Brennda Kaia Reis
Title
Ceo
Phone
(954) 304-0379

Specialties & licenses 1

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

Addresses

Primary practice location

1305 Morgan Stanley Ave Unit 335
Winter Park, FL 32789-1961

Mailing address

1305 Morgan Stanley Ave Unit 335
Winter Park, FL 32789-1961
Phone (407) 476-4260

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1841806684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MORGAN STANLEY AVE UNIT 335",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891961",
            "telephone_number": "407-476-4260",
            "fax_number": "855-746-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MORGAN STANLEY AVE UNIT 335",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891961",
            "telephone_number": "407-476-4260",
            "fax_number": "855-746-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "BRENNDA",
        "authorized_official_middle_name": "KAIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-304-0379"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.