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Organization
LEGACY ADVANCED HEALTH LLC
Active
Organization
LEGACY ADVANCED HEALTH LLC
Active
Other names
Legacy Advanced Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA MANNING NP (AGNP)
(954) 999-4881
Entity
Organization
Contact information
Practice address
1515 N UNIVERSITY DR STE 120, CORAL SPRINGS, FL 33071-6084
(954) 999-4881
(772) 303-3476
Mailing address
15084 WILDWOOD CIR, WESTLAKE, FL 33470-5435
(772) 333-7070
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
Other
Enumeration date
05/31/2018
Last updated
12/26/2025
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