Graduated: 1989
NPI: 1114072782
Practice Locations (3)
2300 NE 33RD AVE APT, SUITE 406
FORT LAUDERDALE, FL 333051840
6101 BLUE LAGOON DR, SUITE 200
MIAMI, FL 33126
1400 NW 107TH AVE, SUITE 500
SWEETWATER, FL 331722746
Source: CMS National Downloadable File, September 2026.