| Legacy Advanced Health Llc | |
|
1515 N University Dr Ste 120 Coral Springs FL 33071-6084 | |
| (954) 999-4881 | |
| (772) 303-3476 |
| Full Name | Legacy Advanced Health Llc |
|---|---|
| Speciality | General Practice |
| Location | 1515 N University Dr Ste 120, Coral Springs, Florida |
| Authorized Official Name and Position | Pamela Manning (AGNP) |
| Authorized Official Contact | 9549994881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Advanced Health Llc 15084 Wildwood Cir Westlake FL 33470-5435 Ph: (772) 333-7070 | Legacy Advanced Health Llc 1515 N University Dr Ste 120 Coral Springs FL 33071-6084 Ph: (954) 999-4881 |
| NPI Number | 1538651112 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 12/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538651112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Florida) | Primary |
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