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LEGACY FAMILY MEDICINE LLC
NPI 1477878940
Family Medicine in Orlando, FL

Active since March 29, 2010CLIA 10D2006868 · Waiver
11602 LAKE UNDERHILL RD STE 119, ORLANDO, FL 32825(407) 781-1000(407) 781-1001 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Legacy Family Medicine Llc NPPES

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

LEGACY FAMILY MEDICINE LLC (NPI 1477878940) is a healthcare organization registered as a family medicine in Orlando, Florida and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Philip T Hardy, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1477878940
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEGACY FAMILY MEDICINE LLC
Location Address11602 LAKE UNDERHILL RD STE 119Orlando, FL 32825-4460
Mailing Address11602 Lake Underhill Rd, Suite 119Orlando, FL 32825-4458 · (407) 781-1000 · Fax (407) 781-1001
Phone(407) 781-1000
Fax(407) 781-1001
Organization SubpartNo
Authorized OfficialPhilip T HardyPhysician/owner · (407) 781-1000
Enumeration DateMarch 29, 2010
Last NPPES UpdateJanuary 20, 2015
✔ NPI 1477878940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11602 LAKE UNDERHILL RD STE 119, Orlando, FL 32825
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Other Identifiers 1

Medicare PINDA060AFL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Legacy Family Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Philip Hardy, M.D.
Family Practice
NPI 1548247869
11602 LAKE UNDERHILL RD SUITE 119
Orlando, FL 32825
(407) 781-1000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2006868

Legacy Family Medicine LLC · Orlando, FL
Active · expires May 2, 2028
CLIA Number10D2006868
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorPhilip T. Hardy
Laboratory Phone(407) 781-1000
Laboratory LocationLegacy Family Medicine LLC11602 Lake Underhill Rd Ste 119, Orlando, FL 32825
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Family Medicine LLC's NPI number?

The NPI number for Legacy Family Medicine LLC is 1477878940. It was assigned to this organization in the NPPES registry on March 29, 2010.

Where is Legacy Family Medicine LLC located?

Legacy Family Medicine LLC is located at 11602 Lake Underhill Rd Ste 119, Orlando, FL 32825. The listed phone number is (407) 781-1000.

What is Legacy Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Legacy Family Medicine LLC enrolled in Medicare?

Yes. Legacy Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Legacy Family Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Legacy Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2006868) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Legacy Family Medicine LLC accept?

Health plans from AvMed list Legacy Family Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legacy Family Medicine LLC was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.