Graduated: 2016
NPI: 1023550035
Practice Locations (2)
TAMPA GENERAL MEDICAL GROUP INC
2 TAMPA GENERAL CIR, FL 3
TAMPA, FL 336063571
8138447585
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
4202 E FOWLER AVE
TAMPA, FL 336206750
Source: CMS National Downloadable File, September 2026.