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Organization

LEGACY OF N. FL.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL DUANE MINTON (OWNER/AUTHORIZED OFFICIAL)
(386) 623-0561
Entity
Organization

Contact information

Practice address
285 SW OAKWOOD CT, LAKE CITY, FL 32024-0807
(386) 623-0561
Mailing address
1468 SW MAIN BLVD STE 105-5, LAKE CITY, FL 32025-1115
(386) 623-0561

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
09/02/2020
Last updated
01/07/2021
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