MANAGED HEALTHY LIVING INC
NPI 1104595735
Clinic/Center in Orlando, FL

Active since September 08, 2021
4804 EDGEWATER DR STE A, ORLANDO, FL 32804(407) 574-3030(321) 697-7000 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2021, Sep 8, 2021 (2 updates tracked since 2021).

About Managed Healthy Living Inc NPPES

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

MANAGED HEALTHY LIVING INC (NPI 1104595735) is a healthcare organization registered as a clinic/center in Orlando, Florida and active in the NPI registry since September 2021. The organization lists Marlene Vernonia Lindsay, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104595735
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMANAGED HEALTHY LIVING INC
Location Address4804 EDGEWATER DR STE AOrlando, FL 32804-1126
Mailing Address4804 Edgewater Dr Ste AOrlando, FL 32804-1126 · (407) 574-3030 · Fax (321) 697-7000
Fax(321) 697-7000
Organization SubpartNo
Authorized OfficialMarlene Vernonia LindsayAdministrator · (407) 574-3030
Enumeration DateSeptember 8, 2021
Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2021
NPI 1104595735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4804 EDGEWATER DR STE A, Orlando, FL 32804

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
4804 EDGEWATER DR STE A
ORLANDO, FL 32804
Internal Medicine (Geriatric Medicine)
4804 EDGEWATER DR STE A
ORLANDO, FL 32804

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 Managed Healthy Living Inc's NPI number?

The NPI number for Managed Healthy Living Inc is 1104595735. It was assigned to this organization in the NPPES registry on September 8, 2021.

Where is Managed Healthy Living Inc located?

Managed Healthy Living Inc is located at 4804 Edgewater Dr Ste A, Orlando, FL 32804. The listed phone number is (407) 574-3030.

What is Managed Healthy Living Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Managed Healthy Living Inc was last updated on September 16, 2021. 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.