Organization
LEGACY MED PRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICE TAYLOR (COO)
(224) 247-9084
Entity
Organization
Contact information
Practice address
407 LAKE HOWELL RD STE 1011, MAITLAND, FL 32751-5914
(224) 247-9084
Mailing address
407 LAKE HOWELL RD STE 1011, MAITLAND, FL 32751-5914
(224) 247-9084
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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