# LEGACY PHYSICIANS GROUP FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013242783
- **Authorized official:** DR. VIVEK S SASTRY M.D. (PRESIDENT)
- **Authorized official phone:** (972) 312-8800

## Contact information

- **Practice address:** 7460 WARREN PARKWAY, SUITE 160, FRISCO, TX 75034-4170
- **Practice address phone:** (972) 668-5400
- **Practice address fax:** (972) 668-5401
- **Mailing address:** 7460 WARREN PARKWAY, SUITE 160, FRISCO, TX 75034-4170
- **Mailing address phone:** (972) 668-5400
- **Mailing address fax:** (972) 668-5401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | ME105041 | FL | — |
| 310400000X | Assisted Living Facility | ME105041 | FL | — |
| 314000000X | Skilled Nursing Facility | ME105041 | FL | Yes |

## Other

- **Enumeration date:** 10/13/2009
- **Last updated:** 08/25/2010