Graduated: 2025
NPI: 1154299360
Practice Locations (2)
PRIMARY CARE PROVIDERS INC
635 SE 17TH ST
OCALA, FL 344711283
3528167800
LEGACY HEALTHCARE SERVICES INC
1550 KILLINGSWORTH WAY
THE VILLAGES, FL 321622175
3526332971
Source: CMS National Downloadable File, September 2026.