1700779501 NPI number — LEGACY MEDICAL ASSOCIATES INCORPORATED

Table of content: (NPI 1700779501)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700779501 NPI number — LEGACY MEDICAL ASSOCIATES INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEGACY MEDICAL ASSOCIATES INCORPORATED
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700779501
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5633 E LEITNER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORAL SPRINGS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33067-2048
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-290-5681
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3001 CORAL HILLS DR STE 170
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORAL SPRINGS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33065-4172
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-290-5681
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/30/2025

Additional Information

Authorized Official

Authorized Official Last Name:
KASEL
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
319-290-5681

Provider Taxonomy Codes

  • Taxonomy code: 111NS0005X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com