Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1629040597
Practice Locations (2)
CORNERSTONE HEALTH SERVICES LLC
2140 E COUNTY RD, 540A
LAKELAND, FL 338133740
3523431341
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.