Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2020
Offers telehealth
NPI: 1568090371
Practice Locations (2)
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
1563 LAND O LAKES BLVD
LUTZ, FL 335492930
8139494224
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.