Medical school: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated: 1997
Offers telehealth
NPI: 1285644054
Practice Locations (2)
300 RIVERSIDE E DR, SUITE 1000
BRADENTON, FL 342081022
9412514933
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.