KEVIN MARVIN – NPI #1043708050
Clinic/Center

KEVIN MARVIN is an AHC clinic located in PORT ORANGE, FL. NPPES has assigned the NPI number 1043708050 to KEVIN MARVIN on April 25, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KEVIN MARVIN” is a dba name, the actual legal business name for this organization is L & L PORT ORANGE, LLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEVIN MARVIN below.

NPI Profile for
L & L PORT ORANGE, LLC

NPI Number
1043708050
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
L & L PORT ORANGE, LLC
Doing Business As (dba): KEVIN MARVIN
Primary location
4904 S CLYDE MORRIS BLVD
SUITE B
PORT ORANGE, FL 32129
Phone: (386) 788-9959 Fax: (386) 788-9850
Mailing address
3890 TURTLE CREEK DRIVE
SUITE A
PORT ORANGE, FL 32127
Phone: (386) 761-5440 Fax: (386) 760-0474
Organization Subpart
No
Authorized Official
EUGENE LECOMPTE
OWNER/MANAGER
Phone: (386) 295-3815
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 FL DN12922

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.