Organization
LEGACY ADVANCED HEALTH LLC
Active
Other names
Legacy Advanced Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA MANNING NP (AGNP)
(954) 999-4881
Entity
Organization
Contact information
Practice address
1515 N UNIVERSITY DR STE 120, CORAL SPRINGS, FL 33071-6084
(954) 999-4881
(772) 303-3476
Mailing address
15084 WILDWOOD CIR, WESTLAKE, FL 33470-5435
(772) 333-7070
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
Other
Enumeration date
05/31/2018
Last updated
12/26/2025
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