National Provider Identifier Database

LEGACY V MEDICAL
Customized Equipment


Contact Information

LEGACY V MEDICAL
3113 WILLIE MAYS PKWY
STE.1100-B
ORLANDO, FL32811
Phone: 407-947-4946
Fax:
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X

* Indicates primary specialty

NPI Profile & details for LEGACY V MEDICAL

NPI Number 1043514458
Legal business name
LBN
LEGACY V MEDICAL
Authorized official MARIE MARCOVITCH - (MGR. MEMBER)
Entity Organization
Organization subpart No
Enumeration date 12/28/2010
Last updated 05/05/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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