Graduated: 1980
NPI: 1780725549
Practice Locations (2)
OPTUMCARE FLORIDA, LLC
1345 W BAY DR, 202 OPTUM LARGO
LARGO, FL 337702276
7275590895
OPTUMCARE FLORIDA, LLC
825 W LINEBAUGH AVE
TAMPA, FL 336127855
8139150055
Source: CMS National Downloadable File, September 2026.