Graduated: 1981
NPI: 1619951043
Practice Locations (2)
PCC MEDICAL HOLDINGS LLC
4849 LAKE WORTH RD, PCC OF MILLAKE GREENACRES
GREENACRES, FL 334633461
5614334446
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.