Organization · Type 2 NPI

The Lisa Legacy Group Corp

Medical Specialty Clinic/Center · Coral Springs, FL

NPI number 1114846326 Active

Practice location

5401 N University Dr Ste 104
Coral Springs, FL 33067-4636

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1114846326

The Lisa Legacy Group Corp's National Provider Identifier is 1114846326, issued on Jul 13, 2026. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Coral Springs, FL. The record was last updated on Jul 13, 2026.