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Organization
LEGS LLC
Active
Organization
LEGS LLC
Active
Other names
Louise Eisenhower Gallagher Services
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA KAY BRILL (OFFICE MANAGER)
(407) 276-7326
Entity
Organization
Contact information
Practice address
1964 HOWELL BRANCH RD, SUITE 100, WINTER PARK, FL 32792-1042
(407) 276-7326
(407) 264-8261
Mailing address
1964 HOWELL BRANCH RD, SUITE 100, WINTER PARK, FL 32792-1042
(407) 276-7326
(407) 264-8261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9163789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305711900
—
FL
Enumeration date
09/14/2016
Last updated
04/03/2017
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