LEGACY MEDICAL GROUP CORP – NPI #1518810662
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

LEGACY MEDICAL GROUP CORP is a provider located in TAMARAC, FL. NPPES has assigned the NPI number 1518810662 to LEGACY MEDICAL GROUP CORP on February 18, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEGACY MEDICAL GROUP CORP below.

NPI Profile for
LEGACY MEDICAL GROUP CORP

NPI Number
1518810662
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEGACY MEDICAL GROUP CORP
Primary location
7351 W OAKLAND PARK BLVD STE 103
TAMARAC, FL 33319-7107
Phone: (889) 808-7501 Fax: (889) 876-3737
Mailing address
17641 SW 84TH CT
PALMETTO BAY, FL 33157-6014
Phone: (889) 808-7501 Fax: (889) 876-3737
Organization Subpart
No
Authorized Official
JORGE GALVEZ
OWNER
Phone: (505) 967-1651
Updated
Certification Date
Feb 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.