Organization
MANAGED HEALTHY LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE VERNONIA LINDSAY DNP (ADMINISTRATOR)
(407) 574-3030
Entity
Organization
Contact information
Practice address
4804 EDGEWATER DR STE A, ORLANDO, FL 32804-1126
(407) 574-3030
(321) 697-7000
Mailing address
4804 EDGEWATER DR STE A, ORLANDO, FL 32804-1126
(407) 574-3030
(321) 697-7000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/16/2021
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