Graduated: 1990
NPI: 1003956616
Practice Locations (2)
OPTUMCARE FLORIDA, LLC
772 CORTARO DR
RUSKIN, FL 335736811
8136339443
WELLMED MEDICAL MANAGEMENT OF FLORIDA INC
2155 SE FEDERAL HWY, WELLMED AT SOUTH STUART
STUART, FL 349944514
7722239630
Source: CMS National Downloadable File, September 2026.