Organization Active NPI

Legacy Solution Ventures LLC

  • Interventional Pain Medicine Physician
  • Plantation, FL
National Provider Identifier
1699635466
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
LEGACY SOLUTION VENTURES LLC
Practice address
350 NW 84TH Ave Ste 108
Plantation, FL 33324-1847
Phone
(800) 531-1587
NPI assigned
Nov 14, 2025
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Eugenio J Villarreal, MD
Title
Auth Off
Phone
(800) 531-1587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

350 NW 84TH Ave Ste 108
Plantation, FL 33324-1847

Mailing address

350 NW 84TH Ave Ste 108
Plantation, FL 33324-1847
Phone (800) 531-1587

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1699635466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 108",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241847",
            "telephone_number": "800-531-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 108",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241847",
            "telephone_number": "800-531-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SOLUTION VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "EUGENIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTH OFF",
        "authorized_official_telephone_number": "800-531-1587",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.