MEDICARE: LIVING FLORIDA HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073006631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING FLORIDA HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	4804 EDGEWATER DR STE A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-1126
Country	:	US
Telephone Number	:	407-574-2121
Fax Number	:	866-682-4175

Provider Business Practice Location Address
First Line	:	4804 EDGEWATER DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-1126
Country	:	US
Telephone Number	:	321-330-9330
Fax Number	:	321-697-7000

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. TOM ANTHONY HARRIS
Credential	:
Telephone Number	:	407-574-2121

Provider Enumeration Date	:	06/08/2018
Last Update Date	:	10/19/2022

Similar Medicare Providers

1316984909 — DR. TED ADAM KAPLAN M.D.
Practice Location Address:

4804 EDGEWATER DR STE B
ORLANDO, FL
32804-1126

Practice Phone: 407-290-3344
Practice Fax: 877-767-4236

1336163823 — MARLENE VERONICA LINDSAY ARNP
Practice Location Address:

4804 EDGEWATER DR STE A
ORLANDO, FL
32804-1126

Practice Phone: 407-574-2121
Practice Fax: 321-697-7000

1497026793 — PRINCETON PEDIATRICS, PA
Practice Location Address:

4804 EDGEWATER DR STE B
ORLANDO, FL
32804-1126

Practice Phone: 407-290-3344
Practice Fax: 877-767-4236

1841732468 — MONIQUE R MAY M.S. CCC-SLP
Practice Location Address:

4804 EDGEWATER DR
ORLANDO, FL
32804-1126

Practice Phone: 407-900-4805
Practice Fax:

1104595735 — MANAGED HEALTHY LIVING INC
Practice Location Address:

4804 EDGEWATER DR STE A
ORLANDO, FL
32804-1126

Practice Phone: 407-574-3030
Practice Fax: 321-697-7000

1861115958 — MANAGED HEALTHCARE EXPERTS
Practice Location Address:

4804 EDGEWATER DR STE A
ORLANDO, FL
32804-1126

Practice Phone: 321-330-9330
Practice Fax: 321-697-7000

Directions to “LIVING FLORIDA HEALTHCARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.