Graduated: 2022
NPI: 1497472781
Practice Locations (2)
LAKE ENT AND FPS, PA
601 E DIXIE AVE, PLAZA 901
LEESBURG, FL 347485953
3527282404
CORA HEALTH SERVICES INC
1050 OLD CAMP RD, SUITE 282
THE VILLAGES, FL 321621762
3526933378
Source: CMS National Downloadable File, September 2026.