Graduated: 2009
NPI: 1720430788
Practice Locations (2)
CORA HEALTH SERVICES INC
11661 STATE RD 70
LAKEWOOD RANCH, FL 342029416
9412220321
PROFESSIONAL HEALTH CARE OF PINELLAS, LLC
1839 CENTRAL AVE
ST PETERSBURG, FL 337139089
7273221054
Source: CMS National Downloadable File, September 2026.