Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1984
Offers telehealth
NPI: 1033112255
Practice Locations (1)
FLORIDA KIDNEY PHYSICIANS LLC
409 BAYSHORE BLVD, FL 4
TAMPA, FL 336062707
8139108708
Source: CMS National Downloadable File, September 2026.