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LIVING FLORIDA HEALTHCARE LLC
NPI 1073006631
Clinic/Center - Primary Care in Orlando, FL

Active since June 08, 2018CLIA 10D2160129 · Waiver
4804 EDGEWATER DR, ORLANDO, FL 32804(321) 330-9330(321) 697-7000 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2022, May 27, 2020 (2 updates tracked since 2020).

About Living Florida Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVING FLORIDA HEALTHCARE LLC (NPI 1073006631) is a healthcare organization registered as a primary care in Orlando, Florida and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Tom Anthony Harris, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073006631
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIVING FLORIDA HEALTHCARE LLC
Location Address4804 EDGEWATER DROrlando, FL 32804-1126
Mailing Address4804 Edgewater Dr Ste AOrlando, FL 32804-1126 · (407) 574-2121 · Fax (866) 682-4175
Phone(321) 330-9330
Fax(321) 697-7000
Organization SubpartNo
Authorized OfficialTom Anthony HarrisAdministrator · (407) 574-2121
Enumeration DateJune 8, 2018
Last NPPES UpdateOctober 19, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1073006631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4804 EDGEWATER DR, Orlando, FL 32804
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Living Florida Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Living Florida Healthcare LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Marlene Lindsay, ARNP
Nurse Practitioner
NPI 1336163823
4804 EDGEWATER DR STE A
Orlando, FL 32804
(407) 574-2121
✔ PECOSSame address
Richard Powell, MD
Internal Medicine
NPI 1023103702
6804 CECELIA DRIVE
New Port Richey, FL 34653
(855) 232-0644
✔ PECOS✔ Accepts Medicare83 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2160129

Living Florida Healthcare LLC · Orlando, FL
Active · expires Jan 3, 2027
CLIA Number10D2160129
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorRichard B. Powell
Laboratory Phone(407) 574-2121
Laboratory LocationLiving Florida Healthcare LLC4804 Edgewater Dr Ste A, Orlando, FL 32804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Living Florida Healthcare LLC's NPI number?

The NPI number for Living Florida Healthcare LLC is 1073006631. It was assigned to this organization in the NPPES registry on June 8, 2018.

Where is Living Florida Healthcare LLC located?

Living Florida Healthcare LLC is located at 4804 Edgewater Dr, Orlando, FL 32804. The listed phone number is (321) 330-9330.

What is Living Florida Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Living Florida Healthcare LLC enrolled in Medicare?

Yes. Living Florida Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Living Florida Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Living Florida Healthcare LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Living Florida Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2160129) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Living Florida Healthcare LLC was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.