Organization · Type 2 NPI

Legacy Concierge Medicine, PLLC

Family Medicine Physician · Bradenton, FL

NPI number 1912865080 Active

Practice location

6114 Manatee Ave W
Bradenton, FL 34209-2419

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1912865080

Legacy Concierge Medicine, PLLC's National Provider Identifier is 1912865080, issued on Jan 15, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bradenton, FL. The record was last updated on Feb 28, 2026.