Graduated: 2017
NPI: 1154837789
Practice Locations (2)
COASTAL INTEGRATIVE HEALTHCARE INC
315 N RIDGEWOOD AVE
EDGEWATER, FL 321321617
3864278403
PRIMARY CARE OF CENTRAL FLORIDA INC
12301 LAKE UNDERHILL RD, SUITE 215
ORLANDO, FL 328284511
3212350692
Source: CMS National Downloadable File, September 2026.