Graduated: 1979
NPI: 1730372467
Practice Locations (7)
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
OHI WEST MEDICAL GROUP II LLC
38101 MARKET SQUARE DR
ZEPHYRHILLS, FL 335427505
8137150195
OHI WEST MEDICAL GROUP II LLC
38103 MARKET SQUARE DR
ZEPHYRHILLS, FL 335427505
8137780414
OHI WEST MEDICAL GROUP II LLC
38105 MARKET SQUARE DR
ZEPHYRHILLS, FL 335427505
8138155380
OHI WEST MEDICAL GROUP II LLC
38107 MARKET SQUARE DR
ZEPHYRHILLS, FL 335427505
8139790440
OHI WEST MEDICAL GROUP II LLC
38135 MARKET SQUARE DR
ZEPHYRHILLS, FL 335427505
OHI WEST MEDICAL GROUP II LLC
6830 GALL BLVD
ZEPHYRHILLS, FL 335422503
8137833118
Source: CMS National Downloadable File, September 2026.