Legacy Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEGACY FAMILY MEDICINE LLC

Practice address

11602 Lake Underhill Rd Ste 119
Orlando, FL 32825-4460

Phone

(407) 781-1000

Fax

(407) 781-1001

NPI assigned

Mar 29, 2010

Last updated

Jan 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip T Hardy, MDNPI 1548247869

Title

Physician/Owner

Phone

(407) 781-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip T Hardy, M.D.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1548247869
  Medicare reassignment NPD Authorized official
• Shatera Nicole Smith, APRN

  • Gerontology Nurse Practitioner
  • Kissimmee, FL
  • NPI 1073277406
  Medicare reassignment NPD
• Betty Chen, PA

  • Physician Assistant
  • Orlando, FL
  • NPI 1750107918
  Medicare reassignment
• Brooke Hinga, PA-C

  • Physician Assistant
  • Lake Mary, FL
  • NPI 1417401076
  Medicare reassignment
• Maria Lipari, PA

  • Medical Physician Assistant
  • The Villages, FL
  • NPI 1578936852
  Medicare reassignment
• Lizbeth Martin, PA-C

  • Physician Assistant
  • Saint Cloud, FL
  • NPI 1942586771
  Medicare reassignment
• Alexandra Leigh Durand, PA-C

  • Physician Assistant
  • Golden, CO
  • NPI 1679238117

  FL

  Medicare reassignment

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1477878940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL RD",
            "address_2": "SUITE 119",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254458",
            "telephone_number": "407-781-1000",
            "fax_number": "407-781-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL RD STE 119",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254460",
            "telephone_number": "407-781-1000",
            "fax_number": "407-781-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "407-781-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Alberto Lefran, MD
• Legacy Alliance Incorporated
• Legacy Care Companions LLC.
• Legacy Care Solutions
• Legacy Care Transportation LLC
• Legacy Home Health Agency LLC
• Legacy Non-Emergency Medi Transport
• Legacy Park Discount Pharmacy (Legacy Pharmacy)
• Legacy Park Discount Pharmacy (Legacy Pharmacy)
• Legacy Smiles of Orlando

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.