OrganizationActive
Managed Healthy Living Inc
NPI 1104595735 · Clinic/Center · Orlando, FL
Provider details
- NPI number
- 1104595735
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marlene Lindsay, Administrator(407) 574-3030
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4804 Edgewater Dr Ste a
Orlando, FL 32804-1126
Phone: (407) 574-3030
Fax: (321) 697-7000
Street-level locationGet directions
Mailing address
4804 Edgewater Dr Ste a
Orlando, FL 32804-1126
Registry dates
- Enumerated
- 2021-09-08
- Last updated
- 2021-09-16
- Certified
- 2021-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.