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Organization
LEGACY HEALTHCARE SERVICES, INC
Active
Organization
LEGACY HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GIL WILSON JR. (CHIEF FINANCIAL OFFICER)
(919) 424-5080
Entity
Organization
Contact information
Practice address
17470 BROOKSIDE TRACE CT, TAMPA, FL 33647-6201
(813) 443-5042
(813) 443-5771
Mailing address
110 HORIZON DR STE 310, RALEIGH, NC 27615-4926
(919) 424-5080
(919) 431-9224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/10/2015
Last updated
01/22/2026
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