Legacy Healthcare Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LEGACY HEALTHCARE CENTER LLC

Practice address

3620 NW 43Rd St Ste a-C
Gainesville, FL 32606-8103

Phone

(325) 575-9991

Fax

(601) 429-9159

NPI assigned

Oct 18, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Valorea Williams

Title

Aprn

Phone

(352) 256-5933

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1194488973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WOODLAND LN",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326406343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 NW 43RD ST STE A-C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068103",
            "telephone_number": "325-575-9991",
            "fax_number": "601-429-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VALOREA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "352-256-5933"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107662400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phone",
            "affiliation": "N",
            "endpointDescription": "Business cell phone",
            "address_1": "3620 NW 43rd St Ste A-C",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326068103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Lees, MD
• Josef Samuel Leetmaa, MD
• Julio Alberto Leey-Casella, MD
• Elizabeth A. Lefave, ARNP
• David Lefkowitz, M.D.
• Legacy Healthcare Services Inc
• Nolan Ernest Legault, RBT
• Sarah Lynn Legault, ARNP
• Legend Rehab Inc
• Julie Leger Cruz, LMT

• Family Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.