Organization
LEGACY OF N. FL.
Active
Organization
LEGACY OF N. FL.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DUANE MINTON (OWNER)
(386) 243-0074
Entity
Organization
Contact information
Practice address
165 NW OPEN CT, LAKE CITY, FL 32055-7191
(386) 243-0074
(386) 243-3876
Mailing address
1468 SW MAIN BLVD STE 105-5, LAKE CITY, FL 32025-1115
(386) 243-0074
(386) 243-3876
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
07/27/2026
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