Graduated: 1981
NPI: 1033162052
Practice Locations (2)
OPTUMCARE FLORIDA, LLC
3010 W AZEELE ST, 100 OPTUM HYDE PARK
TAMPA, FL 336093577
8132510194
SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC
3411 S DALE MABRY HWY, SUITE A SELECT PHYSICAL THERAPY
TAMPA, FL 336298658
8137429501
Source: CMS National Downloadable File, September 2026.