Graduated: 2020
NPI: 1639751977
Practice Locations (2)
LEE HEALTH SYSTEM INC
12651 WHITEHALL DR
FORT MYERS, FL 339073626
2399394444
GENESISCARE USA OF FLORIDA LLC
2500 E HALLANDALE BEACH BLVD, PH 2
HALLANDALE BEACH, FL 330094863
7547075680
Source: CMS National Downloadable File, September 2026.