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LEGACY HEALTH MEDICAL GROUP, LLC
NPI 1881942779
Clinic/Center - Multi-Specialty in Largo, FL

Active since August 27, 2012
801 W BAY DR STE 605, LARGO, FL 33770(727) 489-3305(727) 499-9559 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Health Medical Group, Llc NPPES

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

LEGACY HEALTH MEDICAL GROUP, LLC (NPI 1881942779) is a healthcare organization registered as a multi-specialty in Largo, Florida and active in the NPI registry since August 2012. The organization lists Sunit Srivastava, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1881942779
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLEGACY HEALTH MEDICAL GROUP, LLC
Location Address801 W BAY DR STE 605Largo, FL 33770-3268
Mailing Address801 W Bay Dr Ste 605Largo, FL 33770-3268 · (727) 489-3305 · Fax (727) 499-9559
Phone(727) 489-3305
Fax(727) 499-9559
Organization SubpartNo
Authorized OfficialSunit SrivastavaManaging Member · (727) 644-1540
Enumeration DateAugust 27, 2012
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1881942779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedGeneral PracticeTaxonomy 208D00000X · License ME105069 (FL)
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
801 W BAY DR STE 605, Largo, FL 33770
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Other Identifiers 1

OtherME105069FL · Medical License Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYWANNA JAYE MONTGOMERY
Family Medicine (Adult Medicine)
801 W BAY DR STE 605
LARGO, FL 33770
Pinellas County (727) 489-3305
SST MEDICAL SOLUTIONS, INC.
Durable Medical Equipment & Medical Supplies
801 W BAY DR STE 605
LARGO, FL 33770
Pinellas County (727) 400-6851
SERGIO ENRIQUE PEDRAZA
Nurse Practitioner (Family)
801 W BAY DR STE 605
LARGO, FL 33770
Pinellas County (727) 489-3305
VALUE BASED LONG TERM CARE F PC
Internal Medicine (Geriatric Medicine)
801 W BAY DR STE 605
LARGO, FL 33770
Pinellas County (727) 489-3305
EDEN G CHANEY APRN, FNP-C
Nurse Practitioner (Family)
801 W BAY DR STE 605
LARGO, FL 33770
Pinellas County (727) 489-3305

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 Health Medical Group, LLC's NPI number?

The NPI number for Legacy Health Medical Group, LLC is 1881942779. It was assigned to this organization in the NPPES registry on August 27, 2012.

Where is Legacy Health Medical Group, LLC located?

Legacy Health Medical Group, LLC is located at 801 W Bay Dr Ste 605, Largo, FL 33770. The listed phone number is (727) 489-3305.

What is Legacy Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Legacy Health Medical Group, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Legacy Health Medical Group, 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 Health Medical Group, LLC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.