Medical school: LIFE CHIROPRACTIC COLLEGE
Graduated: 2000
NPI: 1013084656
Practice Locations (2)
445 STATE RD, 13 SUITE 9
JACKSONVILLE, FL 32259
135 DURBIN STATION CT, SUITE 503
SAINT JOHNS, FL 322599370
9042302343
Source: CMS National Downloadable File, September 2026.