Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1987
NPI: 1013971142
Practice Locations (2)
FLORIDA HEALTH CARE PLAN INC
21 HOSPITAL DR, SUITE 290
PALM COAST, FL 321642455
3863178640
FLORIDA HEALTH CARE PLAN INC
309 PALM COAST PKWY NE
PALM COAST, FL 321373886
3867560591
Source: CMS National Downloadable File, September 2026.