Individual
DR. JOSEPH LEGACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
580 W 8TH ST, JACKSONVILLE, FL 32209-6533
(904) 244-9488
Mailing address
580 W 8TH ST, JACKSONVILLE, FL 32209-6533
(904) 244-9488
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
137091
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2014
Last updated
09/21/2021
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