Graduated: 2012
NPI: 1912264854
Practice Locations (2)
OMNI HEALTHCARE, INC
1344 S APOLLO BLVD, SUITE 102
MELBOURNE, FL 329013183
3217777888
PREMIER MEDICAL GROUP PC
490 DUNLOP LN
CLARKSVILLE, TN 370405007
9312457000
Source: CMS National Downloadable File, September 2026.