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Organization
LEGACY HEALTHCARE INC
Active
Organization
LEGACY HEALTHCARE INC
Active
Other names
Legacy Physical Therapy and Sports Training
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR CHACON (ADMINISTRATOR)
(941) 302-9400
Entity
Organization
Contact information
Practice address
2650 BAHIA VISTA ST, SARASOTA, FL 34239-2635
(941) 906-7766
(941) 906-7767
Mailing address
PO BOX 1156, ELLENTON, FL 34222-1156
(941) 729-0003
(941) 729-0004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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