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 is a General Practice Physician 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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