Graduated: 2023
NPI: 1336912807
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
LEGACY HEALTHCARE SERVICES INC
674 E MAIN ST
HENDERSONVILLE, TN 370752680
6155909256
Source: CMS National Downloadable File, September 2026.