Graduated: 2014
NPI: 1457718546
Practice Locations (3)
MILLENNIUM PHYSICIAN GROUP LLC
19531 COCHRAN BLVD
PORT CHARLOTTE, FL 339482081
9412553535
VERIMED HEALTH GROUP CARROLLWOOD LLC
8521 N ARMENIA AVE
TAMPA, FL 336042540
8139320996
MILLENNIUM PHYSICIAN GROUP LLC
8521 N ARMENIA AVE
TAMPA, FL 336042540
8139320996
Source: CMS National Downloadable File, September 2026.