Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1996
NPI: 1205804226
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
7015 RED BUG LAKE RD
OVIEDO, FL 327655056
4075424908
2828 CASA ALOMA WAY, SUITE 500
WINTER PARK, FL 327922270
4077904020
Source: CMS National Downloadable File, September 2026.