Healthcare Provider Details
I. General information
NPI: 1588577217
Provider Name (Legal Business Name): LEGACY HOUSE CALLS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3001 W HALLANDALE BEACH BLVD STE 206
HALLANDALE FL
33009-5158
US
IV. Provider business mailing address
3709 FLATLANDS AVE
BROOKLYN NY
11234-3507
US
V. Phone/Fax
- Phone: 561-973-3843
- Fax: 561-973-5212
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MEIR
VACHSS
Title or Position: OWNER
Credential: NP
Phone: 718-710-9244