Medical school: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated: 1993
NPI: 1053304022
Practice Locations (3)
1528 LAKEVIEW RD
CLEARWATER, FL 337563648
7274465633
SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC
5347 MAIN ST, SUITE 202
NEW PORT RICHEY, FL 346522520
7278410515
35111 US 19
PALM HARBOR, FL 346841935
7274465633
Source: CMS National Downloadable File, September 2026.