# LEGACY MEDIX GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073477030
- **Authorized official:** LATRICE TAYLOR (OWNER)
- **Authorized official phone:** (224) 247-9084

## Contact information

- **Practice address:** 407 LAKE HOWELL RD STE 1011, MAITLAND, FL 32751-5914
- **Practice address phone:** (707) 320-5062
- **Mailing address:** 407 LAKE HOWELL RD STE 1011, MAITLAND, FL 32751-5914
- **Mailing address phone:** (707) 320-5062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2025
- **Last updated:** 12/15/2025