Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Advanced Health LLC

Organization General Practice Physician · NPI 1538651112

Legacy Advanced Health LLC provides General Practice Physician services in Coral Springs, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1515 N University Dr Ste 120
Coral Springs, FL 33071-6084
Phone: (954) 999-4881
Fax: (772) 303-3476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X (FL)

Record details

NPI number1538651112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Manning — Agnp · (954) 999-4881
Other names Legacy Advanced Health
NPI enumeratedMay 31, 2018
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025
Mailing address15084 Wildwood Cir, Westlake, FL 33470-5435

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