Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 1988
NPI: 1467424564
Practice Locations (2)
WATSON CLINIC LLP
1600 LAKELAND HILLS BLVD
LAKELAND, FL 338053019
8636807000
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.