Legacy Medical Services Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME75721 Issued in FL

Legal business name

LEGACY MEDICAL SERVICES INC.

Practice address

649 US Highway 1
Suite 2
North Palm Beach, FL 33408-4600

Phone

(561) 775-6455

Fax

(561) 775-6456

NPI assigned

Jul 14, 2008

Last updated

Jul 14, 2008By 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

Dr. Sheela Shah, M.D.

Title

President

Phone

(561) 775-6456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1689838179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 US HIGHWAY 1",
            "address_2": "SUITE 2",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084600",
            "telephone_number": "561-775-6455",
            "fax_number": "561-775-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 US HIGHWAY 1",
            "address_2": "SUITE 2",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084600",
            "telephone_number": "561-775-6455",
            "fax_number": "561-775-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHEELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-775-6456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.