Graduated: 1992
NPI: 1477761898
Practice Locations (2)
PCC MEDICAL HOLDINGS LLC
1670 S CONGRESS AVE, PCC OF PALM SPRINGS
PALM SPRINGS, FL 334612142
5614324577
PCC MEDICAL HOLDINGS LLC
2911 N MILITARY TRL D, PCC OF WEST PALM
WEST PALM BEACH, FL 334092922
5614788825
Source: CMS National Downloadable File, September 2026.