Graduated: 2009
NPI: 1467772780
Practice Locations (3)
MILLENNIUM PHYSICIAN GROUP LLC
705 FERRIS ST
GREEN COVE SPRINGS, FL 320434025
9042844510
LAKE AREA PHYSICAL THERAPY INC.
PO BOX, SUITE 1099
Melrose, FL 326661099
LAKE AREA PHYSICAL THERAPY INC.
PO BOX, SUITE 1099
MELROSE, FL 326661099
Source: CMS National Downloadable File, September 2026.