Graduated: 1998
NPI: 1003815671
Practice Locations (2)
1900 DON WICKHAM DR, SUITE 120
CLERMONT, FL 347111980
3522417050
ORLANDO HEALTH MEDICAL GROUP INC
83 W MILLER ST
ORLANDO, FL 328062031
3218418555
Source: CMS National Downloadable File, September 2026.