Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1975
Offers telehealth
NPI: 1013915404
Practice Locations (2)
907 N PARSONS AVE
BRANDON, FL 335103107
8889580454
907 N PARSONS AVE, SEFFNER PREMIER HEALTHCARE
BRANDON, FL 335103107
8136898020
Source: CMS National Downloadable File, September 2026.