Graduated: 2023
NPI: 1114708732
Practice Locations (2)
OHI WEST MEDICAL GROUP LLC
701 6TH ST S
ST PETERSBURG, FL 337014814
7278231234
ADVANCED DIAGNOSTIC IMAGING PC
300 20TH AVE N, SUITE G4
NASHVILLE, TN 372032244
6152845385
Source: CMS National Downloadable File, September 2026.