# THE LISA LEGACY GROUP CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDI WEIGHTLOSS CORAL SPRINGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114846326
- **Authorized official:** DR. KENDALL MARCUS GRIFFITH MD (PRESIDENT)
- **Authorized official phone:** (954) 802-6034

## Contact information

- **Practice address:** 5401 N UNIVERSITY DR STE 104, CORAL SPRINGS, FL 33067-4636
- **Practice address phone:** (954) 802-6034
- **Mailing address:** 5401 N UNIVERSITY DR STE 104, CORAL SPRINGS, FL 33067-4636
- **Mailing address phone:** (954) 802-6034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2026
- **Last updated:** 07/13/2026