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Organization
LEGACY PHYSICIANS GROUP FLORIDA LLC
Active
Organization
LEGACY PHYSICIANS GROUP FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVEK S SASTRY M.D. (PRESIDENT)
(972) 312-8800
Entity
Organization
Contact information
Practice address
7460 WARREN PARKWAY, SUITE 160, FRISCO, TX 75034-4170
(972) 668-5400
(972) 668-5401
Mailing address
7460 WARREN PARKWAY, SUITE 160, FRISCO, TX 75034-4170
(972) 668-5400
(972) 668-5401
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
ME105041
FL
310400000X
Assisted Living Facility
ME105041
FL
314000000X
Skilled Nursing Facility
Primary
ME105041
FL
Other
Enumeration date
10/13/2009
Last updated
08/25/2010
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