Graduated: 1998
NPI: 1710057484
Practice Locations (2)
BRANDON AREA PRIMARY CARE PA
500 VONDERBURG DR
BRANDON, FL 335115978
8136542445
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.