| Legends Family Medical Center | |
|
1485 Legends Boulevard Davenport FL 33896 | |
| (863) 537-8000 | |
| Not Available |
| Full Name | Legends Family Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1485 Legends Boulevard, Davenport, Florida |
| Authorized Official Name and Position | Diana S Gauchat (PRESIDENT CEO) |
| Authorized Official Contact | 4073480990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legends Family Medical Center 1485 Legends Boulevard Davenport FL 33896 Ph: (863) 537-8000 | Legends Family Medical Center 1485 Legends Boulevard Davenport FL 33896 Ph: (863) 537-8000 |
| NPI Number | 1750544706 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750544706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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