Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 1984
Offers telehealth
NPI: 1437212610
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
1499 S BRANDYWINE CIR
FORT MYERS, FL 339196775
2392020059
MILLENNIUM PHYSICIAN GROUP LLC
19531 COCHRAN BLVD
PORT CHARLOTTE, FL 339482081
9412553535
Source: CMS National Downloadable File, September 2026.