Organization · Type 2 NPI
Legacy Healthcare Center LLC
Family Nurse Practitioner · Gainesville, FL
NPI number
1194488973
Active
Practice location
3620 NW 43rd St Ste A-C
Gainesville, FL 32606-8103
Fax (601) 429-9159
Mailing address
113 Woodland Ln
Hawthorne, FL 32640-6343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Gainesville
About NPI 1194488973
Legacy Healthcare Center LLC's National Provider Identifier is 1194488973, issued on Oct 18, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gainesville, FL. The record was last updated on Feb 10, 2022.