Graduated: 1999
NPI: 1033275854
Practice Locations (2)
FLORIDA PRACTITIONERS, LLC
1000 NE 56TH ST
FORT LAUDERDALE, FL 333344149
9542298635
FLORIDA PRACTITIONERS, LLC
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 333084603
9547718000
Source: CMS National Downloadable File, September 2026.