Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1990
NPI: 1104836519
Practice Locations (3)
MEDFAST URGENT CARE CENTERS LLC
5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 329274305
3217577222
MEDFAST URGENT CARE CENTERS LLC
2525 GARDEN ST
TITUSVILLE, FL 327962549
3216333278
MEDFAST URGENT CARE CENTERS LLC
3045 COLUMBIA BLVD, SUITE A108
TITUSVILLE, FL 327807864
3212649176
Source: CMS National Downloadable File, September 2026.