Crowned Glory

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CROWNED GLORY

Practice address

3437 Bocage Dr Apt 510
Orlando, FL 32812-7588

Phone

(407) 952-3702

NPI assigned

May 10, 2023

Organization subpart

No

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

Authorized official

Name

Mariah King

Title

MGR

Phone

(407) 952-3702

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1861182164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 BOCAGE DR APT 510",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3437 BOCAGE DR APT 510",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127588",
            "telephone_number": "407-952-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWNED GLORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "407-952-3702"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lee Crow, MSW
• Sarah Pauline Crow, LMFT, LMHC
• Sarah Crowder, DO
• Keenan Patrick Crowley
• Crown Medical Transportation, LLC
• Leah Croy
• Theresa Crozier
• Abigail Rochelle Crubaugh, DNP, CRNA
• Adora Crudo, PT
• Avery Lynne Crum

• Prosthetic/Orthotic Supplier in Orlando, FL
• Providers in Orlando, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.