Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1999
Also: NEPHROLOGY
NPI: 1104841360
Practice Locations (4)
MILLENNIUM PHYSICIAN GROUP LLC
2600 LAUREL RD E
NOKOMIS, FL 342753226
9412619000
MILLENNIUM PHYSICIAN GROUP LLC
19531 COCHRAN BLVD
PORT CHARLOTTE, FL 339482081
9412553535
FLORIDA KIDNEY PHYSICIANS LLC
2852 TAMIAMI TRL, SUITE 1
PORT CHARLOTTE, FL 339525100
9415058720
MILLENNIUM PHYSICIAN GROUP LLC
1700 S TAMIAMI TRL
SARASOTA, FL 342393509
9419179000
Source: CMS National Downloadable File, September 2026.