Graduated: 1994
NPI: 1306809769
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
1499 S BRANDYWINE CIR
FORT MYERS, FL 339196775
2392020059
LEE HEALTH SYSTEM INC
6150 MEDICAL PARK LOOP
FORT MYERS, FL 339124537
2397223600
Source: CMS National Downloadable File, September 2026.