Graduated: 1995
Offers telehealth
NPI: 1851460372
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
7745 GALL BLVD
ZEPHYRHILLS, FL 335414315
8137809900
Source: CMS National Downloadable File, September 2026.