# LEGACY ADVANCED HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Advanced Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538651112
- **Authorized official:** PAMELA MANNING NP (AGNP)
- **Authorized official phone:** (954) 999-4881

## Contact information

- **Practice address:** 1515 N UNIVERSITY DR STE 120, CORAL SPRINGS, FL 33071-6084
- **Practice address phone:** (954) 999-4881
- **Practice address fax:** (772) 303-3476
- **Mailing address:** 15084 WILDWOOD CIR, WESTLAKE, FL 33470-5435
- **Mailing address phone:** (772) 333-7070

## Taxonomy

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

## Other

- **Enumeration date:** 05/31/2018
- **Last updated:** 12/26/2025