Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 1988
NPI: 1053483750
Practice Locations (3)
FLORIDA DEPARTMENT OF HEALTH
66 W MAIN ST
BRONSON, FL 326216338
3524865300
FLORIDA DEPARTMENT OF HEALTH
149 NE 241ST ST
CROSS CITY, FL 326283305
3524981360
FLORIDA DEPARTMENT OF HEALTH
119 NE 1ST ST
TRENTON, FL 326933428
3524633120
Source: CMS National Downloadable File, September 2026.