Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2000
Offers telehealth
NPI: 1699744888
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
7374 SAN CASA DR
ENGLEWOOD, FL 342248842
9414175064
MILLENNIUM PHYSICIAN GROUP LLC
19531 COCHRAN BLVD
PORT CHARLOTTE, FL 339482081
9412553535
Source: CMS National Downloadable File, September 2026.