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LEGACY HEALTHCARE CENTER LLC
NPI 1194488973
Nurse Practitioner - Family in Gainesville, FL

Active since October 18, 2021
3620 NW 43RD ST STE A-C, GAINESVILLE, FL 32606(325) 575-9991(601) 429-9159 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2022, Oct 18, 2021 (2 updates tracked since 2021).

About Legacy Healthcare Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY HEALTHCARE CENTER LLC (NPI 1194488973) is a healthcare organization registered as a family in Gainesville, Florida and active in the NPI registry since October 2021. The organization lists Valorea Williams, Aprn, as its authorized official.

NPPES Registry Identity

NPI1194488973
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLEGACY HEALTHCARE CENTER LLC
Location Address3620 NW 43RD ST STE A-CGainesville, FL 32606-8103
Mailing Address113 Woodland LnHawthorne, FL 32640-6343
Phone(325) 575-9991
Fax(601) 429-9159
Organization SubpartNo
Authorized OfficialValorea WilliamsAprn · (352) 256-5933
Enumeration DateOctober 18, 2021
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1194488973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
3620 NW 43RD ST STE A-C, Gainesville, FL 32606
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Other Identifiers 1

Medicaid107662400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Healthcare Center LLC's NPI number?

The NPI number for Legacy Healthcare Center LLC is 1194488973. It was assigned to this organization in the NPPES registry on October 18, 2021.

Where is Legacy Healthcare Center LLC located?

Legacy Healthcare Center LLC is located at 3620 NW 43rd St Ste A-C, Gainesville, FL 32606. The listed phone number is (325) 575-9991.

What is Legacy Healthcare Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Legacy Healthcare Center LLC was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.