Graduated: 1980
NPI: 1235131830
Practice Locations (2)
HERNANDO PASCO PRIMARY CARE LLC
11373 CORTEZ BLVD
BROOKSVILLE, FL 346135405
3525963032
HERNANDO PASCO PRIMARY CARE LLC
18928 N DALE MABRY HWY, SUITE 101
LUTZ, FL 335484922
8139091146
Source: CMS National Downloadable File, September 2026.