Graduated: 1975
Offers telehealth
NPI: 1093896367
Practice Locations (5)
18436 HAWTHORNE BLVD, SUITE 210
TORRANCE, CA 905044541
1420 CELEBRATION BLVD, SUITE 310
CELEBRATION, FL 347475161
600 E DIXIE AVE, ATTN EDNA P. REIMBURSEMENT
Leesburg, FL 347485925
600 E DIXIE AVE, ATTN EDNA P. REIMBURSEMENT
LEESBURG, FL 347485925
PO BOX
FRANKLIN, TN 37068
Source: CMS National Downloadable File, September 2026.