Graduated: 2003
NPI: 1912988635
Practice Locations (2)
COOPER FAMILY MEDICAL PLLC
5123 4TH AVE CIR E
BRADENTON, FL 342085620
9417445510
LEGACY HEALTHCARE SERVICES INC
7374 SAN CASA DR
ENGLEWOOD, FL 342248842
9414175064
Source: CMS National Downloadable File, September 2026.