Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1013902097
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
1499 S BRANDYWINE CIR
FORT MYERS, FL 339196775
2392020059
PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL
7381 COLLEGE PKWY, SUITE 110
FORT MYERS, FL 339075527
2394821010
Source: CMS National Downloadable File, September 2026.