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

Legacy Community Center LLC

Organization Psychiatry Physician · NPI 1942895792

Legacy Community Center LLC is a Psychiatry Physician in Coral Springs, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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

10211 W Sample Rd Ste 212214
Coral Springs, FL 33065-3972
Phone: (954) 603-7177
Fax: (786) 364-7543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Psychiatry Physician Taxonomy 2084P0800X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1942895792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lissette Garzon — Ceo · (954) 600-1728
NPI enumeratedMarch 3, 2021
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026
Mailing address10211 W Sample Rd Ste 212214, Coral Springs, FL 33065-3972

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