Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2001
Offers telehealth
NPI: 1801831359
Practice Locations (1)
MILLENNIUM PHYSICIAN GROUP LLC
19531 COCHRAN BLVD
PORT CHARLOTTE, FL 339482081
9412553535
Source: CMS National Downloadable File, September 2026.