Graduated: 2009
NPI: 1962634980
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
7374 SAN CASA DR
ENGLEWOOD, FL 342248842
9414175064
OPTUMCARE FLORIDA, LLC
8342 US HWY 301 N, OPTUM PARRISH
PARRISH, FL 342198653
9417294400
Source: CMS National Downloadable File, September 2026.