Graduated: 2023
NPI: 1073922076
Practice Locations (2)
OPTUMCARE FLORIDA, LLC
1989 W LUMSDEN RD, OPTUM BRANDON
BRANDON, FL 335118821
8136533111
LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA LLC
12440 CORTEZ BLVD
BROOKSVILLE, FL 346132628
9135493884
Source: CMS National Downloadable File, September 2026.