Medical school: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated: 2000
Offers telehealth
NPI: 1962482117
Practice Locations (2)
PORT RICHEY, FL 34668
9417775159
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.