Graduated: 2000
Offers telehealth
NPI: 1386699213
Practice Locations (2)
6103 N ATLANTIC AVE C, KETAMINE HOLISITIC WELLNESS CENTER
CAPE CANAVERAL, FL 329203976
3215142878
3730 BIG PINE RD
MELBOURNE, FL 329348536
Source: CMS National Downloadable File, September 2026.