Graduated: 1980
NPI: 1518053024
Practice Locations (3)
729 CR, 466 SUITE 1100
LADY LAKE, FL 32159
3526332164
771 HWY 466
LADY LAKE, FL 32159
LEGACY HEALTHCARE SERVICES INC
1550 KILLINGSWORTH WAY
THE VILLAGES, FL 321622175
3526332971
Source: CMS National Downloadable File, September 2026.