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

Legacy Medical PLLC

Organization Internal Medicine Physician · NPI 1609647866

Legacy Medical PLLC is an Internal Medicine Physician in Palm Beach Gardens, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11380 Prosperity Farms Rd Ste 114
Palm Beach Gardens, FL 33410-3464
Phone: (917) 209-9990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1609647866
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yana Shtern — Authorized Member · (917) 209-9990
NPI enumeratedJanuary 15, 2024
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024
Mailing address11380 Prosperity Farms Rd Ste 114, Palm Beach Gardens, FL 33410-3464

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