Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1994
NPI: 1003870775
Practice Locations (2)
LAKELAND REGIONAL HEALTH SYSTEMS INC
455 EMERALD AVE
LAKE WALES, FL 338534716
8636871472
ORLANDO HEALTH MEDICAL GROUP INC
9400 TURKEY LAKE RD
ORLANDO, FL 328198001
4073541202
Source: CMS National Downloadable File, September 2026.