Graduated: 1990
NPI: 1114034949
Practice Locations (2)
FLORIDA UROLOGY PARTNERS LLP
4211 VAN DYKE RD, SUITE 206
LUTZ, FL 335588005
81335601961400
FLORIDA UROLOGY PARTNERS LLP
12408 N 56TH ST, SUITE 1
TEMPLE TERRACE, FL 336171522
8139803104
Source: CMS National Downloadable File, September 2026.