Graduated: 2018
NPI: 1154804615
Practice Locations (2)
PRIMARY CARE PROVIDERS INC
4801 SE 11TH AVE
OCALA, FL 344806668
3528161800
LEGACY HEALTHCARE SERVICES INC
1550 KILLINGSWORTH WAY
THE VILLAGES, FL 321622175
3526332971
Source: CMS National Downloadable File, September 2026.