Graduated: 2006
NPI: 1609022086
Practice Locations (3)
1700 66TH ST N
ST PETERSBURG, FL 337105500
7275500855
1811 9TH ST N
ST PETERSBURG, FL 337044221
7275254401
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.