Graduated: 2016
NPI: 1063950723
Practice Locations (2)
PREMIER COMMUNITY HEALTH CARE GROUP INC
14027 5TH ST
DADE CITY, FL 335254302
3525182000
BAYSIDE EMERGENCY PHYSICIANS PA
1200 7TH AVE N
ST PETERSBURG, FL 337051300
7278251100
Source: CMS National Downloadable File, September 2026.