Legacy Advanced Health Llc
May also be knows as Legacy Advanced Health
General Practice Physician in Boca Raton, FL(View on Map)
Legal Business Name
Legacy Advanced Health Llc
Also Known As
Legacy Advanced Health
NPI Number
1538651112
NPI Type
Organization
Enumeration Date
05/31/2018
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
9864 GRAND VERDE WAY APT 1507
9864 GRAND VERDE WAY APT 1507
City
Boca Raton
Boca Raton
State
FL
FL
Postal Code
33428-3524
33428-3524
Country
US
US
Telephone Number
(561) 563-5446
(561) 563-5446
Authorized Official
Name
Pamela Manning
Title or Position
OWNER/PRACTITIONER
Telephone Number
(561) 563-5446
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/31/2018
Provider Address
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