Medical school: FORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2000
Offers telehealth
NPI: 1013941244
Practice Locations (2)
10411 LIGHTNER BRIDGE DR
TAMPA, FL 336261815
13701 BRUCE B DOWNS BLVD, SUITE 111
TAMPA, FL 336134647
8136908506
Source: CMS National Downloadable File, September 2026.