# LEGACY MEDICAL GROUP CORP

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

## Provider details

- **NPI number:** 1518810662
- **Authorized official:** JORGE FELIX GALVEZ RN (OWNER)
- **Authorized official phone:** (505) 967-1651

## Contact information

- **Practice address:** 7351 W OAKLAND PARK BLVD STE 103, TAMARAC, FL 33319-7107
- **Practice address phone:** (889) 808-7501
- **Practice address fax:** (889) 876-3737
- **Mailing address:** 17641 SW 84TH CT, PALMETTO BAY, FL 33157-6014
- **Mailing address phone:** (889) 808-7501
- **Mailing address fax:** (889) 876-3737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2026
- **Last updated:** 02/18/2026