Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2009
Also: CRITICAL CARE (INTENSIVISTS)
Offers telehealth
NPI: 1114258167
Practice Locations (2)
INTERCOASTAL MEDICAL GROUP INC
3333 CATTLEMEN RD, SUITE 106
SARASOTA, FL 342326057
9413791799
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.