Graduated: 2025
NPI: 1245748219
Practice Locations (2)
ORLANDO HEALTH MEDICAL GROUP INC
5565 N WICKHAM RD
MELBOURNE, FL 329407304
3218435851
LEGACY HEALTHCARE SERVICES INC
2855 MURRELL RD
ROCKLEDGE, FL 329554269
3212088778
Source: CMS National Downloadable File, September 2026.