Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 2004
NPI: 1174728653
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
BAY AREA HOSPITALISTS PA
3117 W GANDY BLVD
TAMPA, FL 336112927
8132615500
Source: CMS National Downloadable File, September 2026.