Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1982
Offers telehealth
NPI: 1003893215
Practice Locations (1)
NORTH FLORIDA MEDICAL CLINIC INC
1361 13TH AVE S, SUITE 150
JACKSONVILLE BEACH, FL 322503235
9042427177
Source: CMS National Downloadable File, September 2026.